Individual provider Active NPI

Hannah Pellman, NP

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1437832193
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4015654 Issued in KY
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 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 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

TypeEndpointUseAffiliation
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, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230919000090 IL Practitioner - Nurse Practitioner 8123482585 Reassigns benefits to 1 organization
I20240708002604 KY Practitioner - Nurse Practitioner 8123482585 Reassigns benefits to 1 organization

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
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
209027172ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Nurse Practitioner Current Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Jul 1, 2024 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Jul 1, 2024 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Sep 18, 2023 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner Past Accepting new patients
Southern Illinois Medical Services, NFP PastSince Aug 1, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 14

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

View all 14

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

Verify at the official NPI Registry.