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MRS. ANN NICOLE AMBROSE MSW
NPI 1083285852
Social Worker in Champaign, IL

Active since July 02, 2021PECOS Enrolled
2607 HATHAWAY DR, CHAMPAIGN, IL 61821(217) 262-9975 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1083285852
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMRS. ANN NICOLE AMBROSECredential: MSW
Location Address2607 HATHAWAY DRChampaign, IL 61821-5322
Mailing Address907 W Marketview Dr Ste 10Champaign, IL 61822-1250 · (217) 262-9975
Phone(217) 262-9975
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2020
Enumeration DateJuly 2, 2021
NPPES CertifiedJuly 2, 2021
✔ NPI 1083285852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

2607 HATHAWAY DR, Champaign, IL 61821
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Ann Nicole Ambrose Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274021886
PECOS Enrollment IDI20251024000064
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.

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.

When was this NPI record last updated?

The NPPES record for Ann Ambrose was last updated on July 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.