Individual provider Active NPI

Abbie Cristine Massengill, M.D.

  • Obstetrics & Gynecology Physician
  • Effingham, IL
National Provider Identifier
1396129243
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
36150213 Issued in IL
Practice address
912 N Henrietta St
Effingham, IL 62401-1788
Phone
(217) 342-3337
Fax
(217) 347-3328
NPI assigned
Jul 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 36150213 IL Primary

Addresses

Primary practice location

912 N Henrietta St
Effingham, IL 62401-1788

Mailing address

PO Box 784
Effingham, IL 62401-0784
Phone (217) 342-3337

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190731000264 IL Practitioner - Obstetrics/Gynecology 9830425735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Effingham Obstetrics and Gynecology Associates PLLCGroup PAC ID 2961726021, 12 clinicians

Practice addresses (Care Compare)

912 N Henrietta St
Effingham, IL 62401-1788
Phone (217) 342-3337

Hospital & facility affiliations

  • St Anthonys Memorial Hospital Hospital, Effingham, IL, CCN 140032
  • Sarah Bush Lincoln Health Center Hospital, Mattoon, IL, CCN 140189

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36150213ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Effingham Obstetrics and Gynecology Associates PLLC Obstetrics & Gynecology CurrentSince Jul 29, 2019 Accepting new patients
Effingham Obstetrics & Gynecology Associates SC Obstetrics & Gynecology Current Accepting new patients
Together Women'S Health Medical Group of Illinois, PLLC Past Accepting new patients

Locations

912 N Henrietta St
Effingham, IL 62401
Phone (217) 342-3337

Interoperability endpoints

  • Direct secure messaging: abbie.massengill.1@29023.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/29023/brand/6/csg/101/fhir/r4

Organizations & group practices 3

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

Hospital & facility affiliations 3

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1396129243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 784",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624010784",
            "telephone_number": "217-342-3337",
            "fax_number": "217-347-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 N HENRIETTA ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624011788",
            "telephone_number": "217-342-3337",
            "fax_number": "217-347-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSENGILL",
        "first_name": "ABBIE",
        "middle_name": "CRISTINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "36150213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.