Allison N Sagez, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Carrollton, IL

NPI 1477092427 · NPPES record last updated Mar 27, 2025

Key facts

NPI
1477092427
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
277002935 (IL)
Practice address
523 S Main St
Carrollton, IL 62016-1256
Phone
(217) 942-3326
Fax
(217) 942-9833
NPI assigned
Feb 22, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 12

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 2

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jersey Community Hospital (62 clinicians)

Practice addresses (Care Compare)

523 S Main St
Carrollton, IL 62016-1256
Phone (217) 942-3326

Hospital & facility affiliations

  • Jersey Community Hospital Hospital · Jerseyville, IL · CCN 140059
  • Thomas H Boyd Memorial Hospital Hospital · Carrollton, IL · CCN 141300

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100 (apm)
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20170307002113 IL Practitioner - Nurse Practitioner 6901180173 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
277002935ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Community Hospital Current Accepting new patients
Jersey Community Hospital District Current
since Mar 6, 2017
Accepting new patients
Jersey Community Hospital Current
since Mar 6, 2017
Accepting new patients
Jersey Community Hospital Past Accepting new patients

Locations

523 S Main St
Carrollton, IL 62016
Phone (217) 348-3326

390 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-2101

400 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-6402

903 S State St
Jerseyville, IL 62052
Phone (618) 498-8806

270 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-7108

Interoperability endpoints

  • Direct secure messaging: asagez@jch.cernerdirect.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277002935 IL Yes

Addresses

Primary practice location

523 S Main St
Carrollton, IL 62016-1256

Mailing address

390 Maple Summit Rd
Jerseyville, IL 62052-2000
Phone (618) 498-7518

Other practice location 1

903 S State St
Jerseyville, IL 62052-2344
Phone (618) 639-9255

Other practice location 2

270 Maple Summit Rd
Jerseyville, IL 62052-2004
Phone (618) 498-7108

Other identifiers

IdentifierTypeStateIssuer
277002935OtherILIDPR - FPA APRN LIC
13970634OtherILCAQH

Other names

  • Allison N Nolle Former name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address asagez@jch.cernerdirect.com Health Information Exchange (HIE)

Other providers in Carrollton, IL

All providers in Carrollton, IL · Family Nurse Practitioner in Illinois

Sources for this page

Verify at the official NPI Registry.