NPIMap

Individual provider Active NPI

Alicia D Markley, PA-C

  • Physician Assistant
  • West Frankfort, IL
National Provider Identifier
1912008020
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085-001879 Issued in IL
Practice address
2553 Ken Gray Blvd
West Frankfort, IL 62896-4174
Phone
(618) 932-3937
Fax
(618) 932-2734
NPI assigned
Sep 25, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085-001879 IL Primary

Addresses

Primary practice location

2553 Ken Gray Blvd
West Frankfort, IL 62896-4174

Mailing address

2553 Ken Gray Blvd
West Frankfort, IL 62896-4174
Phone (618) 536-6621

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amarkley13575@sih.direct-ci.com

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
I20061012000282 IL Practitioner - Physician Assistant 5294731352 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

2553 Ken Gray Blvd
West Frankfort, IL 62896-4174
Phone 6189322155288

326 E Main St
West Frankfort, IL 62896-2402
Phone (618) 937-6200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085-001879ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Hospital Services CurrentSince Dec 25, 2013 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Feb 1, 2014 Accepting new patients
Board of Trustees of Southern Illinois University CurrentSince Sep 8, 2020 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Feb 1, 2014 Accepting new patients
Board of Trustees of Southern Illinois University CurrentSince Sep 8, 2020 Accepting new patients
Southern Illinois Hospital Services CurrentSince Dec 25, 2013 Accepting new patients
Southern Illinois University Past Accepting new patients

Locations

305 W Jackson St
Ste 200
Carbondale, IL 62901
Phone (618) 453-3777

520 N 4th St
Springfield, IL 62702
Phone (217) 757-8100

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

2553 Ken Gray Blvd
West Frankfort, IL 62896
Phone (618) 932-2155

Interoperability endpoints

  • Direct secure messaging: amarkley13575@sih.direct-ci.com

Organizations & group practices 8

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 6

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1912008020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2553 KEN GRAY BLVD",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628964174",
            "telephone_number": "618-536-6621",
            "fax_number": "618-453-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2553 KEN GRAY BLVD",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628964174",
            "telephone_number": "618-932-3937",
            "fax_number": "618-932-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKLEY",
        "first_name": "ALICIA",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-03-07",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-001879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amarkley13575@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "2553 Ken Gray Blvd",
            "city": "West Frankfort",
            "state": "IL",
            "country_code": "US",
            "postal_code": "628964174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Frankfort, IL

Sources for this page

Verify at the official NPI Registry.