Abby L Cunningham, FNP

Key facts

NPI

1528299955

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

209007687 (IL)

Practice address

1602 W Lafayette Ave
Jacksonville, IL 62650-1007

Phone

(217) 243-7200

Fax

(217) 245-6165

NPI assigned

Aug 3, 2009

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.

• Memorial Physician Services Family Medicine Physician · Springfield, IL · NPI 1174877930
  Medicare reassignment Care Compare group IL
• Memorial Physician Services Rural Health Clinic/Center · Jacksonville, IL · NPI 1528741147
  Care Compare group NPD
• Memorial Physician Services Rural Health Clinic/Center · Beardstown, IL · NPI 1245822170
  Care Compare group
• Memorial Physician Services Rural Health Clinic/Center · Jacksonville, IL · NPI 1558614867
  Care Compare group
• Memorial Physician Services Rural Health Clinic/Center · Lincoln, IL · NPI 1568715126
  Care Compare group
• Memorial Physician Services Rural Health Clinic/Center · Petersburg, IL · NPI 1790038099
  Care Compare group
• Family Medical Center of Chatham, LLC Family Medicine Physician · Chatham, IL · NPI 1992956528
  NPD
• Memorial Health Partners Family Medicine Physician · Springfield, IL · NPI 1376034744
  NPD
• Memorial Physician Services Family Medicine Physician · Springfield, IL · NPI 1316470651
  NPD
• Memorial Physician Services Multi-Specialty Clinic/Center · Springfield, IL · NPI 1417922964
  NPD
• Springfield Clinic LLP Multi-Specialty Clinic/Center · Springfield, IL · NPI 1215974415
  NPD
• Memorial Expresscare, LLC Family Medicine Physician · Springfield, IL · NPI 1750532362
  NPD (past)

Hospital & facility affiliations 2

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

• Memorial Medical Center General Acute Care Hospital · Springfield, IL · NPI 1255317590
  Care Compare affiliation Hospital
• Passavant Memorial Area Hospital Association Critical Access Hospital · Jacksonville, IL · NPI 1174580831
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Physician Services (161 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Medical Center Hospital · Springfield, IL · CCN 140148
• Jacksonville Memorial Hospital Hospital · Jacksonville, IL · CCN 141352

Merit-based Incentive Payment System (MIPS)

Final score

79.44 of 100 (group)

Quality

71.79

Promoting interoperability

77

Improvement activities

40

Cost

75.71

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

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abbycunningham@sfc.allscriptsdirect.net
• Direct secure messaging: abbycunningham@memorial.allscriptsdirect.net

Specialties & licenses

Addresses

Other identifiers

Other names

• Abby L Fry Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 3, 2012.

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1528299955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3428",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627083428",
            "telephone_number": "800-577-5368",
            "fax_number": "217-757-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W LAFAYETTE AVE",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501007",
            "telephone_number": "217-243-7200",
            "fax_number": "217-245-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "ABBY",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209007687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC CERTIFICATION",
            "identifier": "F0709131",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "FRY",
            "middle_name": "L",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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