Individual provider Active NPI

Audra M Horn, FNP-BC

  • Family Nurse Practitioner
  • Springfield, IL
National Provider Identifier
1437798899
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209-019952 Issued in IL
Practice address
751 N Rutledge St Lowr Level
Springfield, IL 62702-4968
Phone
(217) 545-8000
Fax
(217) 545-1011
NPI assigned
Jan 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209-019952 IL
Family Nurse Practitioner 363LF0000X 209-019952 IL Primary

Addresses

Primary practice location

751 N Rutledge St Lowr Level
Springfield, IL 62702-4968

Mailing address

PO Box 19639
Springfield, IL 62794-9639
Phone (217) 545-8000

Other practice location 1

415 N 9th St Ste 2W126
Springfield, IL 62702-5303
Phone (217) 545-8000

Other practice location 2

1100 E Lincolnshire Blvd Ste 200
Springfield, IL 62703-5950
Phone (217) 545-8000

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
I20200213001888 IL Practitioner - Nurse Practitioner 5395171193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siu Physicians and Surgeons IncGroup PAC ID 2365352820, 316 clinicians

Practice addresses (Care Compare)

415 N 9TH St
Springfield, IL 62702-5303
Phone (217) 545-5817

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

State licenses

LicenseStateTypeSpecialty
209-019952ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Siu Physicians & Surgeons, Inc CurrentSince Jan 6, 2020 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Jan 6, 2020 Accepting new patients
Board of Trustees of Southern Illinois University Current Accepting new patients

Locations

415 N 9th St
Springfield, IL 62702
Phone (217) 545-5117

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

1100 E Lincolnshire Blvd
Ste 200
Springfield, IL 62703
Phone (217) 789-1403

415 N 9th St
Ste 2W126
Springfield, IL 62702

301 N 8th St
Springfield, IL 62701
Phone (217) 545-0003

751 N Rutledge St
Lowr
Springfield, IL 62702
Phone (217) 545-0182

415 N 9th St
Ste 4W16
Springfield, IL 62702
Phone (800) 331-2229

Interoperability endpoints

  • Direct secure messaging: audrahorn@siusm.allscriptsdirect.net

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 5

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": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1437798899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19639",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949639",
            "telephone_number": "217-545-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 N RUTLEDGE ST LOWR LEVEL",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024968",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-1011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 N 9th St Ste 2W126",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627025303",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-4912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 E Lincolnshire Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627035950",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "fax_number": "217-529-5914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORN",
        "first_name": "AUDRA",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-019952",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-019952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.