ALEX GREGORY NIEBRUGGE APRN
NPI 1083204671
Nurse Practitioner - Family in Effingham, IL

Q: What is Alex Niebrugge's NPI number?

The NPI number for Alex Niebrugge is 1083204671. It was assigned to this individual provider in the NPPES registry on January 19, 2021.

Q: What is Alex Niebrugge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Alex Niebrugge was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 19, 2021PECOS EnrolledAccepts Medicare Assignment

1106 N MERCHANT ST, EFFINGHAM, IL 62401(217) 342-7000(217) 342-7002 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 15, 2026, Oct 11, 2022, Jan 19, 2021 (3 updates tracked since 2021).

On this page

About Alex Gregory Niebrugge Aprn NPPES

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

ALEX GREGORY NIEBRUGGE APRN (NPI 1083204671) is an individual family provider in Effingham, Illinois, licensed in Illinois (209025757) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1083204671

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameALEX GREGORY NIEBRUGGECredential: APRN

Location Address1106 N MERCHANT STEffingham, IL 62401-2128

Mailing AddressPo Box 372Mattoon, IL 61938-0372 · (217) 258-2581

Phone(217) 342-7000

Fax(217) 342-7002

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2022

Enumeration DateJanuary 19, 2021

Last NPPES UpdateJanuary 15, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2026

✔ NPI 1083204671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209025757

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1106 N MERCHANT ST, Effingham, IL 62401

Open in Google Maps ↗

Secondary Practice Locations 4

Location 11201 Wooddell Way Ste BMattoon, IL 61938-1014 · Phone (217) 238-3000

Location 21303 W Evergreen Ave Ste 100Effingham, IL 62401-1638 · Phone (217) 540-6123

Location 32040 Lincoln Ave Ste 100Charleston, IL 61920-3197 · Phone (217) 345-2030

Location 41100 Tuscola BlvdTuscola, IL 61953-2065 · Phone (217) 253-4764

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

Alex Gregory Niebrugge Aprn 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 ID1658749403

PECOS Enrollment IDI20221129000316

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.

Hospital Affiliations CMS Care Compare 2

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140032

Location503 N Maple StreetEffingham, IL 62401 · Effingham County

Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140189

Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62401 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.

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.

REBECCA HOLKENBRINK LCPC

Counselor (Professional)