Active NPI
Hannah Pellman, NP
- Family Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4015654
- Practice address
- 9342 Cedar Center Way
Louisville, KY 40291-4522 - Phone
- (502) 239-3228
- Fax
- (502) 231-2517
- NPI assigned
- Aug 9, 2023
- Last updated
- May 29, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209027172 | IL | |
| Family Nurse Practitioner | 363LF0000X | 4015654 | KY | Primary |
Addresses
Primary practice location
9342 Cedar Center Way
Louisville, KY 40291-4522
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490
Other practice location 1
203 Bailey Ln Ste 1
Benton, IL 62812-2266
Phone (618) 438-5670
Other practice location 2
2601 W Main St
Carbondale, IL 62901-1031
Phone (618) 549-5361
Other practice location 3
502 W Saint Louis St Ste 4
West Frankfort, IL 62896-1968
Phone (618) 937-3400
Other practice location 4
405 Rushing Dr
Herrin, IL 62948-3730
Phone (618) 993-3300
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hnelson20312@sih.direct-ci.com | ||
| Direct Messaging Address | hnelson20312@sih.direct-ci.com | ||
| Direct Messaging Address | hnelson20312@sih.direct-ci.com | ||
| Direct Messaging Address | hnelson20312@sih.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9342 Cedar Ctr Way
Louisville, KY 40291-4522
Phone (502) 629-1515
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.11 of 100
- Quality
- 63.34
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209027172 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Community Medical Associates, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Community Medical Associates, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Nurse Practitioner | Past | Accepting new patients |
| Southern Illinois Medical Services, NFP | Past | Accepting new patients |
Locations
203 Bailey Ln
Ste 1
Benton, IL 62812
Phone (618) 438-5670
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
405 Rushing Dr
Herrin, IL 62948
Phone (618) 993-3300
502 W Saint Louis St
Ste 4
West Frankfort, IL 62896
Phone (618) 937-3400
157 Towne Dr
Ste 104
Elizabethtown, KY 42701
Phone (270) 765-5926
202 Limestone St S
Ste 1C
Frankfort, KY 40601
Phone (502) 665-8377
1230 Market St
Ste B
La Grange, KY 40031
Phone (502) 225-6920
7926 Preston Hwy
Ste 106
Louisville, KY 40219
Phone (502) 964-4357
3101 Poplar Level Rd
Ste 102
Louisville, KY 40213
Phone (502) 636-6012
9342 Cedar Center Way
Louisville, KY 40291
Phone (502) 239-3228
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
9880 Angies Way
Ste 160
Louisville, KY 40241
Phone (502) 394-6333
9340 Cedar Center Way
Louisville, KY 40291
Phone (502) 239-8431
12903 Shelbyville Rd
Louisville, KY 40243
Phone (502) 244-5827
10798 Dixie Hwy
Ste 101
Louisville, KY 40272
Phone (502) 449-6444
1321 Herr Ln
Ste 195
Louisville, KY 40222
Phone (502) 423-7911
4420 Dixie Hwy
Ste 116
Louisville, KY 40216
Phone (502) 449-6400
4950 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 425-5556
12615 Taylorsville Rd
Ste B
Louisville, KY 40299
Phone (502) 261-1565
901 DuPont Rd
Ste 100
Louisville, KY 40207
Phone (502) 559-1855
300 High Point Ct
Ste A
Mount Washington, KY 40047
Phone (502) 538-0297
150 Frankfort Rd
Ste 104A
Shelbyville, KY 40065
Phone (502) 844-2890
438 Adam Shepherd Pkwy
Ste 2
Shepherdsville, KY 40165
Phone (502) 957-6434
Interoperability endpoints
- hnelson20312@sih.direct-ci.com
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
Nurse Practitioner
-
dba SIH Medical Group
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
dba Norton Prompt Care
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1073089850
Nurse Practitioner
-
dba Norton Community Medical Associates
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
Nurse Practitioner
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1588614994
Nurse Practitioner
-
dba Benton Community Healthcare
- Rural Health Clinic/Center
- Benton, IL
- NPI 1780985135
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
dba Norton Cancer Institute
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1073568879
Hospital
-
dba Norton Cardiovasular Associates
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1124314158
Hospital
-
dba Norton Diagnostic Center- Dupont
- Radiology Clinic/Center
- Louisville, KY
- NPI 1154329696
Hospital
-
dba Norton Cardiovascular Diagnostic Center- Dixie
- Medical Specialty Clinic/Center
- Louisville, KY
- NPI 1174819106
Hospital
-
dba Norton Brownsboro Hospital
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
-
dba Norton Cardiovascular Diagnostic Center- Springs
- Medical Specialty Clinic/Center
- Louisville, KY
- NPI 1659669414
Hospital
-
dba Norton Childrens Medical Center- Brownsboro
- Ambulatory Surgical Clinic/Center
- Louisville, KY
- NPI 1700105699
Hospital
-
dba Norton Diagnostic Center- Fern Creek
- Radiology Clinic/Center
- Louisville, KY
- NPI 1255335873
Hospital
-
dba Norton West Louisville Hospital
- General Acute Care Hospital
- Louisville, KY
- NPI 1699514463
-
dba Norton Women's and Childrens Hospital
- General Acute Care Hospital
- Louisville, KY
- NPI 1831195908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1437832193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776351",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776351",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9342 CEDAR CENTER WAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402914522",
"telephone_number": "502-239-3228",
"fax_number": "502-231-2517"
}
],
"practiceLocations": [
{
"address_1": "203 Bailey Ln Ste 1",
"address_purpose": "LOCATION",
"city": "Benton",
"state": "IL",
"postal_code": "628122266",
"country_code": "US",
"telephone_number": "618-438-5670",
"fax_number": "618-438-5709",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2601 W Main St",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629011031",
"country_code": "US",
"telephone_number": "618-549-5361",
"fax_number": "618-351-4878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "502 W Saint Louis St Ste 4",
"address_purpose": "LOCATION",
"city": "West Frankfort",
"state": "IL",
"postal_code": "628961968",
"country_code": "US",
"telephone_number": "618-937-3400",
"fax_number": "618-997-9324",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 Rushing Dr",
"address_purpose": "LOCATION",
"city": "Herrin",
"state": "IL",
"postal_code": "629483730",
"country_code": "US",
"telephone_number": "618-993-3300",
"fax_number": "618-993-0262",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PELLMAN",
"first_name": "HANNAH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-09",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209027172",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4015654",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hnelson20312@sih.direct-ci.com",
"affiliation": "N",
"address_1": "405 Rushing Dr",
"city": "Herrin",
"state": "IL",
"country_code": "US",
"postal_code": "629483730",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hnelson20312@sih.direct-ci.com",
"affiliation": "N",
"address_1": "502 W Saint Louis St Ste 4",
"city": "West Frankfort",
"state": "IL",
"country_code": "US",
"postal_code": "628961968",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hnelson20312@sih.direct-ci.com",
"affiliation": "N",
"address_1": "2601 W Main St",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629011031",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hnelson20312@sih.direct-ci.com",
"affiliation": "N",
"address_1": "203 Bailey Ln Ste 1",
"city": "Benton",
"state": "IL",
"country_code": "US",
"postal_code": "628122266",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.