Individual provider Active NPI

Valerie L Lybarger, FNP-BC

  • Family Nurse Practitioner
  • Louisville, IL
National Provider Identifier
1962892976
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.012403 Issued in IL
Practice address
850 Bryant St
Louisville, IL 62858-1000
Phone
(618) 665-7000
Fax
(618) 665-7010
NPI assigned
Jan 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.012403 IL Primary

Addresses

Primary practice location

850 Bryant St
Louisville, IL 62858-1000

Mailing address

850 Bryant St
Louisville, IL 62858-1000
Phone (618) 665-7000

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
I20160519001636 IL Practitioner - Nurse Practitioner 3072802776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Trinity Health and Wellness LLCGroup PAC ID 9537420724, 5 clinicians

Practice addresses (Care Compare)

850 Bryant St
Louisville, IL 62858-1000
Phone (618) 665-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.012403ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health and Wellness, LLC. CurrentSince Feb 2, 2020 Accepting new patients
Trinity Health and Wellness, LLC. Family CurrentSince Feb 1, 2018 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17274/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vlyba@yourcarecommunity.org
  • Direct secure messaging: valerie.lybarger.1@17274.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Trinity Health and Wellness LLCLouisville, IL, CCN 783846 Rural health clinic 5% Or Greater Direct Ownership Interest (33.33%)
Corporate Officer
Corporate Director
W-2 Managing Employee
Mar 1, 2019
Mar 1, 2019
Mar 1, 2019
Mar 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 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": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1962892976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 BRYANT ST",
            "city": "LOUISVILLE",
            "state": "IL",
            "postal_code": "628581000",
            "telephone_number": "618-665-7000",
            "fax_number": "618-665-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BRYANT ST",
            "city": "LOUISVILLE",
            "state": "IL",
            "postal_code": "628581000",
            "telephone_number": "618-665-7000",
            "fax_number": "618-665-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYBARGER",
        "first_name": "VALERIE",
        "middle_name": "L",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.012403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, IL

Sources for this page

Verify at the official NPI Registry.