Allison T. Alumbaugh

Individual provider Active NPI Family Nurse Practitioner · Mattoon, IL

NPI 1396148458 · NPPES record last updated Jul 25, 2024

Key facts

NPI
1396148458
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
209-012293 (IL)
Practice address
200 Richmond Ave E Ste 2
Mattoon, IL 61938-4652
Phone
(217) 234-7000
Fax
(217) 238-5484
NPI assigned
Oct 3, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 11

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 2

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Bush Lincoln Health Center (411 clinicians)

Practice addresses (Care Compare)

101 Professional PLZ
Mattoon, IL 61938-9252
Phone (217) 238-3730

200 Richmond Ave E
Mattoon, IL 61938-4652

Hospital & facility affiliations

  • Sarah Bush Lincoln Home Care Home health agency · Charleston, IL · CCN 147594
  • Sarah Bush Lincoln Health Center Hospital · Mattoon, IL · CCN 140189

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100 (apm)
Quality
69.5
Promoting interoperability
100
Improvement activities
40

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 IDStateProvider typePAC IDDetails
I20150220001948 IL Practitioner - Nurse Practitioner 2466777115 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
209-012293ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center Current
since Jan 23, 2015
Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Sarah Bush Lincoln Health Center Past Accepting new patients

Locations

2040 Lincoln Ave
Ste 100
Charleston, IL 61920
Phone (217) 345-2030

1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

200 Richmond Ave E
Mattoon, IL 61938
Phone (217) 234-7000

200 Dettro Dr
Mattoon, IL 61938
Phone (217) 238-3000

200 Richmond Ave E
Ste 2
Mattoon, IL 61938
Phone (217) 234-7000

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209-012293 IL
Family Nurse Practitioner 363LF0000X 209-012293 IL Yes

Addresses

Primary practice location

200 Richmond Ave E Ste 2
Mattoon, IL 61938-4652

Mailing address

PO Box 372
Mattoon, IL 61938-0372

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 25, 2024.

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1396148458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619380372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RICHMOND AVE E STE 2",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384652",
            "telephone_number": "217-234-7000",
            "fax_number": "217-238-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALUMBAUGH",
        "first_name": "ALLISON",
        "middle_name": "T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-012293",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-012293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattoon, IL

All providers in Mattoon, IL · Family Nurse Practitioner in Illinois

Sources for this page

Verify at the official NPI Registry.