Active NPI
Bobby Hill Jr., APN-BC RN PHRN BOF
- Nurse Practitioner
- Champaign, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 277000188
- Practice address
- 606 N Country Fair Dr Ste a
Champaign, IL 61821-2485 - Phone
- (217) 602-8627
- NPI assigned
- Mar 5, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209016021 | IL | |
| Nurse Practitioner | 363L00000X | 71008122A | IN | |
| Nurse Practitioner | 363L00000X | 277000188 | IL | Primary |
Addresses
Primary practice location
606 N Country Fair Dr Ste a
Champaign, IL 61821-2485
Mailing address
606 N Country Fair Dr Ste a
Champaign, IL 61821-2485
Phone (176) 028-6272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5025 McCook Ave
East Chicago, IN 46312-3759
Phone (219) 397-0380
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209016021 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana Neurology and Pain Center LLC | Current | Accepting new patients | |
| Indiana Neurology and Pain Center LLC | Current | Accepting new patients | |
| Applebaum Physiatry PLLC | Current | Accepting new patients |
Locations
3850 Shore Dr
Ste 203
Indianapolis, IN 46254
Phone (317) 297-3774
7301 N Shadeland Ave
Ste 1A
Indianapolis, IN 46250
Phone (317) 577-1800
6920 Parkdale Pl
Ste 215
Indianapolis, IN 46254
Phone (317) 328-6635
Interoperability endpoints
- bobby.hill.p2@direct.parkviewortho.nextgenshare.com
- bobby.hill.p1@direct.parkviewortho.nextgenshare.com
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.
-
- Physical Medicine & Rehabilitation Physician
- Oak Brook, IL
- NPI 1700598059
IN
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Indianapolis, IN
- NPI 1659890218
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Indianapolis, IN
- NPI 1639738636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1457891806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 N COUNTRY FAIR DR STE A",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618212485",
"telephone_number": "176-028-6272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 N COUNTRY FAIR DR STE A",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618212485",
"telephone_number": "217-602-8627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "BOBBY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "APN-BC RN PHRN BOF",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-05",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209016021",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71008122A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "277000188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.