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PAULA KAY HUBBARD
NPI 1023517109
Nurse Practitioner in Springfield, IL

Active since February 05, 2018PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
4200 CONESTOGA DR, SPRINGFIELD, IL 62711(217) 321-9323 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2021, Mar 28, 2018 (2 updates tracked since 2018).

About Paula Kay Hubbard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAULA KAY HUBBARD (NPI 1023517109) is an individual nurse practitioner in Springfield, Illinois, licensed in Illinois (209017381) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1023517109
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePAULA KAY HUBBARD
Location Address4200 CONESTOGA DRSpringfield, IL 62711-7962
Mailing Address4200 Conestoga DrSpringfield, IL 62711-7962 · (217) 321-9323
Phone(217) 321-9323
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 5, 2018
Last NPPES UpdateDecember 30, 20212 updates tracked since enumeration
NPPES CertifiedDecember 30, 2021
✔ NPI 1023517109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209017381
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4200 CONESTOGA DR, Springfield, IL 62711
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Paula Kay Hubbard 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.

PECOS PAC ID8325302714
PECOS Enrollment IDI20180511000740
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
167 services141 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
39 services39 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
28 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
27 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEIJER GREAT LAKES LIMITED PARTNERSHIP
Pharmacy (Community/Retail Pharmacy)
4200 CONESTOGA DR
SPRINGFIELD, IL 62711
Sangamon County (217) 547-2410
JONATHAN CULLIS PHARM. D.
Pharmacist (Pharmacotherapy)
4200 CONESTOGA DR
SPRINGFIELD, IL 62711
Sangamon County (217) 547-2410
MIRA-CLER JOY JOSAIAH
Behavior Technician
4200 CONESTOGA DR
SPRINGFIELD, IL 62711
Sangamon County (630) 286-0026

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 Paula Hubbard's NPI number?

The NPI number for Paula Hubbard is 1023517109. It was assigned to this individual provider in the NPPES registry on February 5, 2018.

Where is Paula Hubbard located?

Paula Hubbard practices at 4200 Conestoga Dr, Springfield, IL 62711. The listed phone number is (217) 321-9323.

What is Paula Hubbard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Paula Hubbard enrolled in Medicare?

Yes. Paula Hubbard 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.

What insurance does Paula Hubbard accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Paula Hubbard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Paula Hubbard affiliated with any hospitals?

According to CMS data, Paula Hubbard is affiliated with St Johns Hospital.

When was this NPI record last updated?

The NPPES record for Paula Hubbard was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.