MRS. ANN NICOLE AMBROSE MSW
NPI 1083285852
Social Worker in Champaign, IL
About Mrs. Ann Nicole Ambrose Msw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ANN NICOLE AMBROSE MSW (NPI 1083285852) is an individual social worker in Champaign, Illinois and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Ann Nicole Ambrose Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ann Ambrose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Champaign, IL 61821
- Reassigned Medicare billing, Illinois enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ann Ambrose's NPI number?
The NPI number for Ann Ambrose is 1083285852. It was assigned to this individual provider in the NPPES registry on July 2, 2021.
Where is Ann Ambrose located?
Ann Ambrose practices at 2607 Hathaway Dr, Champaign, IL 61821. The listed phone number is (217) 262-9975.
What is Ann Ambrose's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Ann Ambrose enrolled in Medicare?
Yes. Ann Ambrose is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ann Ambrose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ann Ambrose reassigns Medicare benefits to Mcgill Counseling, LLC (Champaign, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ann Ambrose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ann Ambrose was last updated on July 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Ann Nicole Ambrose, MSW · NPI 1083285852
Social Worker provider in Champaign, Illinois. Individual provider, active in the CMS NPPES registry since July 2, 2021.
## Identity
- **NPI:** 1083285852 (Entity type: Individual)
- **Enumerated:** July 2, 2021
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2607 HATHAWAY DR, Champaign, IL 61821-5322
- **Phone:** (217) 262-9975
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mcgill Counseling, LLC (NPI 1316545296, Champaign, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2020
## Record status
- **NPPES last updated:** July 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1083285852) · Data from the CMS NPPES public registry.