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
Hospital & facility affiliations 2
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
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
- Sarah Bush Lincoln Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150220001948 | IL | Practitioner - Nurse Practitioner | 2466777115 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-012293 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Bush Lincoln Health Center | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Jill Michelle Alier
- All Ways Caring Services, Inc.
- Jasmine Aaliyah Alston-Young
- Kayla Renee Althoff
- Maria C. Althoff
- Always Hope Counseling
- Allyson Anderson
- Aamir S Ansari
- Julianna Ard
- Charles Armstrong
All providers in Mattoon, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2024. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.