Macey Gettinger

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209020763 Issued in IL

Practice address

4200 Williamson PL Ste 1a
Mount Vernon, IL 62864-6705

Phone

(618) 899-9200

Fax

(618) 899-9206

NPI assigned

Apr 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Surgical Technology, LLCGroup PAC ID 3274857685, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mederi Caretenders Home health agency, Mount Vernon, IL, CCN 147251
• Sarah Bush Lincoln Health Center Hospital, Mattoon, IL, CCN 140189
• SSM Health St Mary'S Hospital -Centralia Hospital, Centralia, IL, CCN 140034
• Good Samaritan Regional HLTH Center Hospital, Mount Vernon, IL, CCN 140046

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Advanced Surgical Technology, LLC

  • Surgery Physician
  • Centralia, IL
  • NPI 1497159024
  Medicare reassignment Care Compare group NPD
• Advanced Surgical Technology, LLC

  • Rural Health Clinic/Center
  • Carlyle, IL
  • NPI 1831876838
  NPD

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

• Crossroads Home Care Services, LLC

  • Home Health Agency
  • Mount Vernon, IL
  • NPI 1437138070
  Care Compare affiliation
• Good Samaritan Regional Health Center

  • General Acute Care Hospital
  • Mount Vernon, IL
  • NPI 1609897339
  Care Compare affiliation
• Sarah Bush Lincoln Health Center

  • General Acute Care Hospital
  • Mattoon, IL
  • NPI 1669564662
  Care Compare affiliation
• St Mary'S Hospital, Centralia, Illinois

  • General Acute Care Hospital
  • Centralia, IL
  • NPI 1083617245
  Care Compare affiliation

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1912528126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 WILLIAMSON PL STE 1A",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646705",
            "telephone_number": "618-899-9200",
            "fax_number": "618-899-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WILLIAMSON PL STE 1A",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646705",
            "telephone_number": "618-899-9200",
            "fax_number": "618-899-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GETTINGER",
        "first_name": "MACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209020763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri S Garrett, PT
• Amanda R Garrison, LCPC
• Gary R. Atchison, DC
• B J Gee, RRT
• Carla Geha I
• Jennifer Jo Gidley, MPT
• Heather Renee Gilbert, MA, QMHP
• Sharron Gingrich, NP
• Scott Glasgow
• Benton Duane Goff, MPH

• Nurse Practitioner in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.