JEREMY ELLIOTT
NPI 1003416546
Nurse Practitioner - Family in Springfield, IL
About Jeremy Elliott NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY ELLIOTT (NPI 1003416546) is an individual family provider in Springfield, Illinois, licensed in Illinois (209022227) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, is affiliated with Thomas H Boyd Memorial Hospital, and maintains a secondary practice location in White Hall.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jeremy Elliott is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Thomas H Boyd Memorial Hospital
Critical Access Hospitals · Carrollton, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jeremy Elliott's NPI number?
The NPI number for Jeremy Elliott is 1003416546. It was assigned to this individual provider in the NPPES registry on October 26, 2020.
Where is Jeremy Elliott located?
Jeremy Elliott practices at 1025 S 6th St, Springfield, IL 62703. The listed phone number is (217) 528-7541.
What is Jeremy Elliott's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jeremy Elliott enrolled in Medicare?
Yes. Jeremy Elliott is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Jeremy Elliott affiliated with any hospitals?
According to CMS data, Jeremy Elliott is affiliated with Thomas H Boyd Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Jeremy Elliott was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jeremy Elliott · NPI 1003416546
Family physician in Springfield, Illinois. Individual provider, active in the CMS NPPES registry since October 26, 2020.
## Identity
- **NPI:** 1003416546 (Entity type: Individual)
- **Enumerated:** October 26, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209022227 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1025 S 6TH ST, Springfield, IL 62703-2499
- **Phone:** (217) 528-7541
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** November 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1003416546) · Data from the CMS NPPES public registry.