Individual provider Active NPI

Allison L Engelbrecht, A.R.N.P.

  • Family Nurse Practitioner
  • Decatur, IL
National Provider Identifier
1366605347
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
135111 Issued in MO
Practice address
2880 N Monroe St
Decatur, IL 62526-3269
Phone
(217) 330-8939
Fax
(217) 330-9063
NPI assigned
Jul 9, 2008
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 135111 MO Primary

Addresses

Primary practice location

2880 N Monroe St
Decatur, IL 62526-3269

Mailing address

2880 N Monroe St
Decatur, IL 62526-3269
Phone (217) 330-8939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220523000865 IL Practitioner - Nurse Practitioner 0446328009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalskin Medical Group Il PLLCGroup PAC ID 5991116261, 56 clinicians

Practice addresses (Care Compare)

2880 N Monroe St
Decatur, IL 62526-3269
Phone (217) 210-0786

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalskin Medical Group Il PLLC CurrentSince Feb 15, 2022 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Valley Dermatology, P.C. Past Accepting new patients
Vitalskin Medical Group Il PLLC Past Accepting new patients
Vitalskin Medical Group Il PLLC Past Accepting new patients

Locations

2880 N Monroe St
Decatur, IL 62526
Phone (217) 330-8939

917 Remington Rd
Mattoon, IL 61938
Phone (217) 205-3376

Organizations & group practices 5

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 1

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1366605347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 N MONROE ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263269",
            "telephone_number": "217-330-8939",
            "fax_number": "217-330-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 N MONROE ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263269",
            "telephone_number": "217-330-8939",
            "fax_number": "217-330-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELBRECHT",
        "first_name": "ALLISON",
        "middle_name": "L",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "135111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.