Active NPI
Rebecca L. Hallaron
- Family Nurse Practitioner
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209018653
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209018653 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Illinois, LLC | Current | Accepting new patients | |
| Chestnut Health of Illinois LLC | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Midwest Post Acute Care PLLC | Current | Accepting new patients | |
| Altea Medical Illinois PLLC | Current | 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.
-
- Internal Medicine Physician
- Elgin, IL
- NPI 1588043939
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
IL
-
- Geriatric Medicine (Internal Medicine) Physician
- Chicago Heights, IL
- NPI 1447039227
-
- Nurse Practitioner
- Chicago, IL
- NPI 1083012074
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.