Maribel Alvarado, NP
Individual provider Active NPI Family Nurse Practitioner · Anna, IL
NPI 1508636200 · NPPES record last updated Jan 3, 2024
Key facts
- NPI
- 1508636200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209028732 (IL)
- Practice address
- 517 N Main St
Anna, IL 62906-1668 - Phone
- (618) 833-2295
- NPI assigned
- Jan 3, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deaconess Illinois Union County Hospital Inc
Practice addresses (Care Compare)
517 N Main St
RM 22
Anna, IL 62906-1668
Phone (618) 833-2295
Hospital & facility affiliations
- Deaconess Illinois Union County
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240830001844 | IL | Practitioner - Nurse Practitioner | 1658810965 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Illinois Union County Hospital Inc | Current |
Accepting new patients | |
| Deaconess Illinois Union County Hospital Inc | Past | Accepting new patients | |
| Deaconess Union County Hospital, Inc | Past |
Accepting new patients |
Locations
517 N Main St
Rm 22
Anna, IL 62906
Phone (618) 833-2295
517 N Main St
Anna, IL 62906
Phone (618) 833-2295
Interoperability endpoints
- malvarado422209@direct.deaconess.com
- maribel.alvarado.1@27782.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209028732 | IL | Yes |
Addresses
Primary practice location
517 N Main St
Anna, IL 62906-1668
Mailing address
PO Box 637
Cobden, IL 62920-0637
Phone (870) 340-6380
Other providers in Anna, IL
- Derrik Abell
- Carla Andrea A Abordo
- Lindsey Adams
- Advanced Mobility, LLC
- Alaa Alshair
- Anna CC SCH Dist 37
- Anna Clinic Corp
- Anna Clinic Corp
- Anna Clinic Corp
- Anna Comm Consolidated Dist 37
All providers in Anna, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.