NPIMap

Individual provider Active NPI

Bayly Lynn Adams, APRN

  • Family Nurse Practitioner
  • Mount Vernon, IL
National Provider Identifier
1295443653
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.025971 Issued in IL
Practice address
4101 N Water Tower PL
Mount Vernon, IL 62864-6296
Phone
(618) 244-6222
Fax
(618) 246-1247
NPI assigned
Nov 14, 2022
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.025971 IL
Family Nurse Practitioner 363LF0000X 209.025971 IL Primary

Addresses

Primary practice location

4101 N Water Tower PL
Mount Vernon, IL 62864-6296

Mailing address

4101 N Water Tower PL
Mount Vernon, IL 62864-6296
Phone (618) 244-6222

Other practice location 1

1302 N Logan St
Marion, IL 62959-2931
Phone (618) 889-7160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230406002172 IL Practitioner - Nurse Practitioner 9931574852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Illinois Clinic IncGroup PAC ID 5092187021, 19 clinicians

Practice addresses (Care Compare)

205 Bailey LN
Benton, IL 62812-1921
Phone (618) 882-4200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.025971ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Illinois Crossroads Inc CurrentSince Apr 1, 2024 Accepting new patients
Deaconess Illinois Clinic, Inc Nurse Practitioner CurrentSince Jul 16, 2025 Accepting new patients
Deaconess Illinois Crossroads Inc CurrentSince Apr 1, 2024 Accepting new patients
Deaconess Illinois Clinic, Inc Nurse Practitioner CurrentSince Jul 16, 2025 Accepting new patients
Deaconess Illinois Clinic, Inc Nurse Practitioner Past Accepting new patients
Deaconess Illinois Clinic, Inc Nurse Practitioner Past Accepting new patients

Locations

205 Bailey Ln
Benton, IL 62812
Phone (618) 435-8189

1000 Eleven S
Columbia, IL 62236
Phone (618) 281-7010

3411 Professional Park Dr
Marion, IL 62959
Phone (618) 969-8630

4101 N Water Tower Pl
Mount Vernon, IL 62864
Phone (618) 244-4313

Interoperability endpoints

  • Direct secure messaging: badams417576@direct.deaconess.com
  • Direct secure messaging: bayly.adams.1@27782.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1295443653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 N WATER TOWER PL",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646296",
            "telephone_number": "618-244-6222",
            "fax_number": "618-246-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 N WATER TOWER PL",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646296",
            "telephone_number": "618-244-6222",
            "fax_number": "618-246-1247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1302 N Logan St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IL",
            "postal_code": "629592931",
            "country_code": "US",
            "telephone_number": "618-889-7160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "BAYLY",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.025971",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.025971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IL

Sources for this page

Verify at the official NPI Registry.