NPIMap

Individual provider Active NPI

Andrew Kirkley, APN

  • Nurse Practitioner
  • Shelbyville, IL
National Provider Identifier
1659855872
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.018230 Issued in IL
Practice address
200 S Cedar St
Shelbyville, IL 62565-1838
Phone
(217) 774-3806
NPI assigned
Sep 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209-018230 IL
Gerontology Nurse Practitioner 363LG0600X 209-018230 IL
Nurse Practitioner 363L00000X 209.018230 IL Primary
Hospitalist Physician 208M00000X 209-018230 IL

Addresses

Primary practice location

200 S Cedar St
Shelbyville, IL 62565-1838

Mailing address

200 S Cedar St
Shelbyville, IL 62565-1838
Phone (217) 273-0422

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dkirkley288599@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181112001797 IL Practitioner - Nurse Practitioner 5799039665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rush Medical College of Rush University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Medical Group PCGroup PAC ID 7214392059, 13 clinicians

Practice addresses (Care Compare)

1815 N Towanda Barnes Rd
Bloomington, IL 61705-2802
Phone (314) 673-6747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.018230ILMDNurse Practitioner
209-018230ILMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Medical Group, PC CurrentSince Apr 29, 2024 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Sep 27, 2018 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Empowerme Medical Group, PC CurrentSince Apr 29, 2024 Accepting new patients

Locations

490 Urbanna Dr
Freeburg, IL 62243
Phone (618) 539-9190

1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Interoperability endpoints

  • Direct secure messaging: drew.kirkley.p1@direct.empowerme.nextgenshare.com
  • Direct secure messaging: dkirkley288599@ewd.direct.hshs.org

Organizations & group practices 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1659855872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S CEDAR ST",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "625651838",
            "telephone_number": "217-273-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S CEDAR ST",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "625651838",
            "telephone_number": "217-774-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLEY",
        "first_name": "ANDREW",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-24",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209-018230",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209-018230",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.018230",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "209-018230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkirkley288599@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "200 S Cedar St",
            "city": "Shelbyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625651838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelbyville, IL

Sources for this page

Verify at the official NPI Registry.