Individual provider Active NPI

Mary L Hitt, FNP

  • Family Nurse Practitioner
  • Springfield, IL
National Provider Identifier
1528393097
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209007815 Issued in IL
Practice address
751 N Rutledge St Lowr Level
Springfield, IL 62702-4968
Phone
(217) 545-8000
Fax
(217) 545-1011
NPI assigned
Oct 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209007815 IL Primary
Nurse Practitioner 363L00000X 209.007815 IL

Addresses

Primary practice location

751 N Rutledge St Lowr Level
Springfield, IL 62702-4968

Mailing address

PO Box 19639
Springfield, IL 62794-9639
Phone (217) 545-8000

Other practice location 1

1100 E Lincolnshire Blvd Ste 200
Springfield, IL 62703-5950
Phone (217) 545-8000

Other practice location 2

415 N 9th St Ste 2W126
Springfield, IL 62796-1041
Phone (217) 545-8000

Other names 1

  • Mary L Knox Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maryhitt@siusm.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20091211000432 IL Practitioner - Nurse Practitioner 4082754684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siu Physicians and Surgeons IncGroup PAC ID 2365352820, 316 clinicians

Practice addresses (Care Compare)

301 N 8TH St
Springfield, IL 62701-1041
Phone (217) 545-8000

751 N Rutledge St
Springfield, IL 62702-4968
Phone (217) 545-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.007815ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Trustees of Southern Illinois University Current Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Jan 19, 2016 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Jan 19, 2016 Accepting new patients
Siu Physicians & Surgeons, Inc PastSince Feb 4, 2024 Accepting new patients

Locations

2 Memorial Dr
Decatur, IL 62526
Phone (217) 872-2943

1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

415 N 9th St
Ste 6W100
Springfield, IL 62702
Phone (217) 545-5117

1100 E Lincolnshire Blvd
Ste 200
Springfield, IL 62703
Phone (217) 789-1403

415 N 9th St
Ste 2W126
Springfield, IL 62702

301 N 8th St
Springfield, IL 62701
Phone (217) 545-0003

751 N Rutledge St
Lowr
Springfield, IL 62702
Phone (217) 545-0182

400 N 9th St
Fl 4
Springfield, IL 62702

301 N 8th St
Ste Pav
Springfield, IL 62701
Phone (217) 545-6099

415 N 9th St
Springfield, IL 62702
Phone (217) 545-5117

Interoperability endpoints

  • Direct secure messaging: maryhitt@siusm.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1528393097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19639",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949639",
            "telephone_number": "217-545-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 N RUTLEDGE ST LOWR LEVEL",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024968",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-1011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 E Lincolnshire Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627035950",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "fax_number": "217-529-5914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 N 9th St Ste 2W126",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627961041",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-4912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HITT",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-16",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209007815",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.007815",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maryhitt@siusm.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "301 N 8th St",
            "address_2": "Suite PAV 4B147",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627011041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "KNOX",
            "middle_name": "L",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.