Individual provider Active NPI

Ashley Renee Bingman, FNP-C

  • Nurse Practitioner
  • Swansea, IL
National Provider Identifier
1780142356
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1780142356 Issued in IL
Practice address
1 Bronze Pointe Blvd Ste 1a
Swansea, IL 62226-1045
Phone
(618) 233-7055
NPI assigned
Mar 3, 2019
Sex
Female
Sole proprietor
No

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 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Pain Medicine LLC 4 clinicians

Practice addresses (Care Compare)

4112 N Water Tower PL
Suite B
Mount Vernon, IL 62864-6295
Phone (618) 315-6576

Hospital & facility affiliations

  • Good Samaritan Regional HLTH Center Hospital, Mount Vernon, IL, CCN 140046
  • Deaconess Illinois Crossroads Hospital, Mount Vernon, IL, CCN 140294
  • SSM Health St Mary'S Hospital -Centralia Hospital, Centralia, IL, CCN 140034
  • Fairfield Memorial Hospital 1 Hospital, Fairfield, IL, CCN 141311

Merit-based Incentive Payment System (MIPS)

Final score
80.81 of 100Reported as group
Quality
44.91
Improvement activities
40
Cost
79.06

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20190509001567 IL Practitioner - Nurse Practitioner 8628311826 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209018890ILMDPain Management Registered Nurse
1780142356ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Pain Medicine LLC CurrentSince Apr 25, 2019 Accepting new patients
Midwest Anesthesia Providers S.C CurrentSince Aug 1, 2023 Accepting new patients
Midwest Anesthesia Associates, P.C. CurrentSince Aug 1, 2023 Accepting new patients
Moonlight Pediatrics LLC PastSince Aug 23, 2020 Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4112 N Water Tower Pl
Ste B
Mount Vernon, IL 62864
Phone (618) 315-6576

1 Bronze Pointe Blvd
Ste 1A
Swansea, IL 62226
Phone (216) 778-0808

Interoperability endpoints

  • Direct secure messaging: ashley.bingman@2395.securemail.prognocis.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pain Management Registered Nurse 163WP0000X 209018890 IL
Nurse Practitioner 363L00000X 1780142356 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

1 Bronze Pointe Blvd Ste 1a
Swansea, IL 62226-1045

Mailing address

832 N 10TH St
Breese, IL 62230-1060
Phone (618) 384-9645

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
209018890OtherILADVANCED PRACTICE REGISTERED NURSE
209018890OtherILNURSE PRACTITIONER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 27, 2024.

{
    "created_epoch": "1551571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1780142356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 N 10TH ST",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622301060",
            "telephone_number": "618-384-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRONZE POINTE BLVD STE 1A",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261045",
            "telephone_number": "618-233-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGMAN",
        "first_name": "ASHLEY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-03",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "IL",
            "license": "209018890",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "1780142356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE REGISTERED NURSE",
            "identifier": "209018890",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "209018890",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

Verify at the official NPI Registry.