Lindsey Adams, PA
Individual provider Active NPI Physician Assistant · Anna, IL
NPI 1336799691 · NPPES record last updated Aug 9, 2022
Key facts
- NPI
- 1336799691
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085007273 (IL)
- Practice address
- 513 N Main St
Anna, IL 62906-1697 - Phone
- (618) 833-4471
- Fax
- (618) 833-6267
- NPI assigned
- Sep 18, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200406001585 | IL | Practitioner - Physician Assistant | 3476989203 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085007273 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Health, Inc. | Current |
Accepting new patients | |
| Rural Health, Inc. | Current |
Accepting new patients | |
| Community Health & Emergency Services, Inc. | Current |
Accepting new patients |
Locations
513 N Main St
Anna, IL 62906
Phone (618) 833-4471
13245 Kessler Rd
Cairo, IL 62914
Phone (618) 734-4400
1340 Cedar Ct
Carbondale, IL 62901
Phone (618) 457-7821
211 N Broadway
Goreville, IL 62939
Phone (618) 995-1002
Interoperability endpoints
- lindsey.adams.1@7601.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085007273 | IL | Yes |
Addresses
Primary practice location
513 N Main St
Anna, IL 62906-1697
Mailing address
513 N Main St
Anna, IL 62906-1697
Phone (618) 833-4471
Other practice location 1
1340 Cedar Ct
Carbondale, IL 62901-5336
Phone (618) 457-7821
Other providers in Anna, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.