Individual provider Active NPI

Michael Martin Babinski, NP

  • Adult Health Nurse Practitioner
  • Highland, IL
National Provider Identifier
1699362020
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209022579 Issued in IL
Practice address
12860 Troxler Ave
Highland, IL 62249-2898
Phone
(618) 651-2810
NPI assigned
Dec 31, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209022579 IL Primary

Addresses

Primary practice location

12860 Troxler Ave
Highland, IL 62249-2898

Mailing address

5133 Summercrest
Aviston, IL 62216-3659
Phone (618) 803-9457

Other practice location 1

5133 Summercrest
Aviston, IL 62216-3659
Phone (618) 803-9457

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbabinski349023@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: 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
I20210303002184 IL Practitioner - Nurse Practitioner 6103232871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apg Network, LLC 18 clinicians

Practice addresses (Care Compare)

1181 S State Route 157
Edwardsville, IL 62025
Phone (888) 363-8333

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Breese, IL, CCN 140145
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro East Healthcare Limited CurrentSince Dec 1, 2021 Accepting new patients
Apg Network LLC CurrentSince Jun 28, 2024 Accepting new patients

Locations

4414 W Center Dr
Alton, IL 62002
Phone (618) 509-8454

1181 S State Route 157
Ste 201B
Edwardsville, IL 62025
Phone (618) 307-9015

1181 S State Route 157
Edwardsville, IL 62025
Phone (618) 288-4100

27 Auerbach Pl
Glen Carbon, IL 62034
Phone (618) 277-3700

916 Talon Dr
O Fallon, IL 62269
Phone (618) 628-8211

916 Talon Dr
#102
O Fallon, IL 62269
Phone (618) 628-8211

12 Wolf Creek Dr
Swansea, IL 62226
Phone (618) 239-9910

Organizations & group practices 2

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 5

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": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1699362020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5133 SUMMERCREST",
            "city": "AVISTON",
            "state": "IL",
            "postal_code": "622163659",
            "telephone_number": "618-803-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12860 TROXLER AVE",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622492898",
            "telephone_number": "618-651-2810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5133 Summercrest",
            "address_purpose": "LOCATION",
            "city": "Aviston",
            "state": "IL",
            "postal_code": "622163659",
            "country_code": "US",
            "telephone_number": "618-803-9457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABINSKI",
        "first_name": "MICHAEL",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-31",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209022579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbabinski349023@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "12860 Troxler Ave",
            "city": "Highland",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622492898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Highland, IL

Sources for this page

Verify at the official NPI Registry.