ANDREA MARIE EPPLIN (NPI# 1619210721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619210721 |
| Entity Type | Individual |
| Full Name | ANDREA MARIE EPPLIN |
| Other Name | ANDREA MARIE GARRISON |
| Credential | NP |
| Practice Address |
5383 State Route 154 Family Medical Center Pinckneyville IL 62274 |
| Mailing Address |
5383 State Route 154, Po Box 437 Family Medical Center Pinckneyville IL 62274 |
| Practice Telephone | 6183572131 |
| Practice Fax Number | 6183578844 |
| Mailing Telephone | 6183572131 |
| Mailing Fax Number | 6183578844 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2020-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 209010326 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209010326 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 370966854024 | 05 | |
| IL | MEDICARE RR | CF3444 | 01 |
| Street Address |
5383 STATE ROUTE 154 FAMILY MEDICAL CENTER |
| City | PINCKNEYVILLE |
| State | IL |
| Zip Code | 62274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689646523 | Pinckneyville Community Hospital | General Acute Care Hospital | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2006-02-05 |
| 1689292997 | Amber Marie Kellerman | Nurse Practitioner | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2020-07-13 |
| 1326660440 | Leah M. Hopp | Nurse Practitioner | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2020-05-12 |
| 1508386533 | Sabrina Haque I | Family Medicine | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2017-06-21 |
| 1831642164 | Miles Priebe | Nurse Practitioner | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2016-08-03 |
| 1427456961 | Alisa D Dearmond | Nurse Practitioner | 5383 State Route 154, Pinckneyville, IL 62274 | 2014-12-16 |
| 1366733800 | Andrew James Forbes | Internal Medicine | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2011-05-02 |
| 1134422652 | Mariah Kathryn Charles | Nurse Practitioner | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2010-12-07 |
| 1326155029 | Pinckneyville Community Hospital | Family Medicine | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2006-08-25 |
| 1851341366 | Khalid Naseer | Internal Medicine | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2006-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912260233 | Kathy Lynn Heard | Physical Therapy Assistant | 101 N. Walnut St., Pinckneyville, IL 62274 | 2012-06-21 |
| 1235254350 | Timothy Alan Mathis | Emergency Medicine | 202 S Walnut St, Pinckneyville, IL 62274 | 2007-03-20 |
| 1225194988 | Perry County Trans Van | Non-emergency Medical Transport (VAN) | 602 S Douglas St, Pinckneyville, IL 62274 | 2006-12-28 |
| 1063591261 | Medical Arts Sc | Family Medicine | 13 North Walnut Street, Pinckneyville, IL 62274 | 2006-11-06 |
| 1588670426 | Ralph Kane Chapman | Dentist | Box 469, 314 W South St, Pinckneyville, IL 62274 | 2006-07-31 |
| 1841336799 | Clinic Pharmacy | Pharmacy | 206 North Main Street, Pinckneyville, IL 62274-0364 | 2007-01-29 |
| 1992840821 | Wayne Ray Hawkins | Dentist | 212 N Walnut St, Pinckneyville, IL 62274-1015 | 2007-02-20 |
| 1194384669 | Thaddeus Hawkins | Dentist | 212 N Walnut St, Pinckneyville, IL 62274-1015 | 2019-06-10 |
| 1457855330 | Family Dental Center of Pinckneyville LLC | Dentist | 212 N Walnut St, Pinckneyville, IL 62274-1015 | 2018-03-23 |
| 1346410156 | The Family Dental Center of Pinckneyville | Dentist | 212 N Walnut St, Pinckneyville, IL 62274-1015 | 2008-03-07 |
| Find all providers in zip 62274 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790113793 | Kimberly Schramke | Nurse Practitioner | 5473 Bowls Bottom Rd, Pinckneyville, IL 62274-2598 | 2013-10-29 |
| 1689292997 | Amber Marie Kellerman | Nurse Practitioner | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2020-07-13 |
| 1326660440 | Leah M. Hopp | Nurse Practitioner | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2020-05-12 |
| 1831642164 | Miles Priebe | Nurse Practitioner | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2016-08-03 |
| 1427456961 | Alisa D Dearmond | Nurse Practitioner | 5383 State Route 154, Pinckneyville, IL 62274 | 2014-12-16 |
| 1134422652 | Mariah Kathryn Charles | Nurse Practitioner | 5383 State Route 154, Pinckneyville, IL 62274-3342 | 2010-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
| City | PINCKNEYVILLE |
| Zip Code | 62274 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.