GLORIA NICOLE ABENES NP
NPI 1316000219
Nurse Practitioner - Adult Health in Mount Vernon, IL

Active since December 19, 2006PECOS EnrolledAccepts Medicare Assignment
4117 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864(618) 244-6500 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gloria Nicole Abenes Np NPPES

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

GLORIA NICOLE ABENES NP (NPI 1316000219) is an individual adult health provider in Mount Vernon, Illinois, licensed in New York (F303999-1) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1316000219
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameGLORIA NICOLE ABENESCredential: NP
Location Address4117 VETERANS MEMORIAL DRMount Vernon, IL 62864-6262
Mailing AddressPo Box 955860Saint Louis, MO 63195-1037 · (636) 498-5944
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 19, 2006
Last NPPES UpdateOctober 19, 2020
NPPES CertifiedOctober 19, 2020
NPI 1316000219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · F303999-1
4117 VETERANS MEMORIAL DR, Mount Vernon, IL 62864

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

Gloria Nicole Abenes Np 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 ID4880793207
PECOS Enrollment IDI20150727001356
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 5

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.
453 services252 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.
198 services117 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
60 services50 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.
42 services42 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Franklin Hospital

Critical Access Hospitals · Benton, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141321
Location201 Bailey LaneBenton, IL 62812 · Franklin County
Emergency services

Ferrell Hospital Community Foundations

Critical Access Hospitals · Eldorado, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141324
Location1201 Pine StreetEldorado, IL 62930 · Saline County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 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 4

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

Internal Medicine (Medical Oncology)
4117 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
Nurse Practitioner (Family)
4117 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
Internal Medicine (Hematology & Oncology)
4117 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864
Clinic/Center (Oncology, Radiation)
4117 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864

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 Gloria Abenes's NPI number?

The NPI number for Gloria Abenes is 1316000219. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Gloria Abenes located?

Gloria Abenes practices at 4117 Veterans Memorial Dr, Mount Vernon, IL 62864. The listed phone number is (618) 244-6500.

What is Gloria Abenes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Gloria Abenes enrolled in Medicare?

Yes. Gloria Abenes 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 Gloria Abenes affiliated with any hospitals?

According to CMS data, Gloria Abenes is affiliated with Herrin Hospital, Ssm Health St Mary's Hospital -Centralia, Good Samaritan Regional Hlth Center, Franklin Hospital and Ferrell Hospital Community Foundations.

When was this NPI record last updated?

The NPPES record for Gloria Abenes was last updated on October 19, 2020. 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.