Individual provider Active NPI

Rebecca L. Hallaron

  • Family Nurse Practitioner
  • Springfield, IL
National Provider Identifier
1992426829
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209018653 Issued in IL
Practice address
555 W Carpenter St
Springfield, IL 62702-4905
Phone
(217) 525-1880
NPI assigned
Sep 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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 209018653 IL Primary

Addresses

Primary practice location

555 W Carpenter St
Springfield, IL 62702-4905

Mailing address

200 N. Lasalle
Suite 1550
Chicago, IL 60601
Phone (888) 660-4425

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.mpac.afoundria.com

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
I20220929000501 IL Practitioner - Nurse Practitioner 7719363761 Reassigns benefits to 5 organizations

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
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians
Chestnut Health of Illinois LLCGroup PAC ID 2264747344, 38 clinicians

Practice addresses (Care Compare)

1225 S Ewing Dr
Pontiac, IL 61764-9706
Phone (888) 408-7008

1530 N Randall Rd
Suite 210
Elgin, IL 60123-7879
Phone (224) 760-7322

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209018653ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Illinois, LLC CurrentSince Jan 1, 2023 Accepting new patients
Chestnut Health of Illinois LLC CurrentSince Mar 22, 2024 Accepting new patients
Post Acute Medical PLLC CurrentSince Sep 10, 2025 Accepting new patients
Midwest Post Acute Care PLLC CurrentSince Sep 7, 2022 Accepting new patients
Altea Medical Illinois PLLC CurrentSince Sep 10, 2025 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444

3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400

1530 N Randall Rd
Ste 210
Elgin, IL 60123
Phone (224) 760-7322

1101 E State St
Geneva, IL 60134
Phone (630) 208-1876

418 S Memorial Park Rd
Newman, IL 61942
Phone (217) 837-2421

505 Stevens St
Nokomis, IL 62075
Phone (217) 563-7725

310 S Eads Ave
Paris, IL 61944
Phone (217) 465-5395

2220 State St
Pekin, IL 61554
Phone (309) 347-1110

1225 S Ewing Dr
Pontiac, IL 61764
Phone (815) 844-5121

555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1992426829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N. LASALLE",
            "address_2": "SUITE 1550",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60601",
            "telephone_number": "888-660-4425",
            "fax_number": "798-843-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W CARPENTER ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024905",
            "telephone_number": "217-525-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLARON",
        "first_name": "REBECCA",
        "middle_name": "L.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.mpac.afoundria.com",
            "affiliation": "N",
            "address_1": "555 W Carpenter St",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627024905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.