Individual provider Active NPI

Bobby Hill Jr., APN-BC RN PHRN BOF

  • Nurse Practitioner
  • Champaign, IL
National Provider Identifier
1457891806
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277000188 Issued in IL
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

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190521003514 IN Practitioner - Nurse Practitioner 1759650963 Reassigns benefits to 2 organizations

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
Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians

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

LicenseStateTypeSpecialty
209016021ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Neurology and Pain Center LLC CurrentSince Jun 1, 2019 Accepting new patients
Indiana Neurology and Pain Center LLC CurrentSince Jun 1, 2019 Accepting new patients
Applebaum Physiatry PLLC CurrentSince Jun 1, 2025 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

  • Direct secure messaging: bobby.hill.p2@direct.parkviewortho.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.