Individual provider Active NPI

Ashlyn Peebles, APRN

  • Nurse Practitioner
  • Harrisburg, IL
National Provider Identifier
1669201091
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209030148 Issued in IL
Practice address
117 E Clark St
Harrisburg, IL 62946-2702
Phone
(618) 252-8625
Fax
(618) 351-4859
NPI assigned
Aug 1, 2024
Last updated
Oct 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209030148 IL Primary

Addresses

Primary practice location

117 E Clark St
Harrisburg, IL 62946-2702

Mailing address

PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 457-5200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address apeebles78580@sih.direct-ci.com

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
I20240917001049 IL Practitioner - Nurse Practitioner 0749721850 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franklin Hospital DistrictGroup PAC ID 4082516042, shared by 5 NPIs, 32 clinicians
Trinity Medical Staffing LLCGroup PAC ID 1759712698, 35 clinicians

Practice addresses (Care Compare)

201 Bailey LN
Benton, IL 62812-1969
Phone 6184393161332

28 Chick St
Metropolis, IL 62960-2467
Phone (618) 427-2680

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209030148ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Hospital District CurrentSince Dec 15, 2024 Accepting new patients
Franklin Hospital District CurrentSince Dec 15, 2024 Accepting new patients
Franklin Hospital District Current Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Dec 13, 2025 Accepting new patients
Trinity Medical Staffing LLC CurrentSince Oct 15, 2024 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Sep 30, 2024 Accepting new patients

Locations

201 Bailey Ln
Benton, IL 62812
Phone (618) 438-3113

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956

117 E Clark St
Harrisburg, IL 62946
Phone (618) 252-8625

28 Chick St
Metropolis, IL 62960
Phone (618) 427-2680

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1669201091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3988",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629023988",
            "telephone_number": "618-457-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E CLARK ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629462702",
            "telephone_number": "618-252-8625",
            "fax_number": "618-351-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEBLES",
        "first_name": "ASHLYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209030148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apeebles78580@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "117 E Clark St",
            "city": "Harrisburg",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629462702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, IL

Sources for this page

Verify at the official NPI Registry.