Individual provider Active NPI

Paige D. Wampler, APRN-FNP-C

  • Family Nurse Practitioner
  • Paris, IL
National Provider Identifier
1649756875
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209018020 Issued in IL
Practice address
1 Phipps Lane
Paris, IL 61944-2460
Phone
(217) 463-4340
Fax
(217) 463-4342
NPI assigned
Jul 11, 2018
Reactivated
Oct 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209018020 IL Primary

Addresses

Primary practice location

1 Phipps Lane
Paris, IL 61944-2460

Mailing address

727 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141

Other practice location 1

721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141

Other names 1

  • Paige D. Maher Former name

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
I20181109001720 IL Practitioner - Nurse Practitioner 6709130701 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209018020ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Sep 22, 2018 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Sep 22, 2018 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Past Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Past Accepting new patients

Locations

1000 N 2nd St
Marshall, IL 62441
Phone (217) 826-3299

1 Phipps Ln
Paris, IL 61944
Phone (217) 463-4340

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

727 E Court St
Paris, IL 61944
Phone (217) 465-4141

Interoperability endpoints

  • Direct secure messaging: paige.wampler.2@11356.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1649756875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 E COURT ST",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619442460",
            "telephone_number": "217-465-4141",
            "fax_number": "217-463-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PHIPPS LANE",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619442460",
            "telephone_number": "217-463-4340",
            "fax_number": "217-463-4342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 E Court St",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "IL",
            "postal_code": "619442460",
            "country_code": "US",
            "telephone_number": "217-465-4141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAMPLER",
        "first_name": "PAIGE",
        "middle_name": "D.",
        "credential": "APRN-FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-11-21",
        "deactivation_date": "2018-07-11",
        "reactivation_date": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "MAHER",
            "middle_name": "D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paris, IL

Sources for this page

Verify at the official NPI Registry.