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MRS. AMY MARIE SURBURG ANP
NPI 1356649313
Nurse Practitioner - Adult Health in Carbondale, IL

Active since March 01, 2011PECOS Enrolled
405 W JACKSON, PRE-ANESTHESIA DEPARTMENT, CARBONDALE, IL 62901(618) 549-0721(618) 529-0431 Get Directions Write a Review

NPPES record last updated: March 1, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Amy Marie Surburg Anp NPPES

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

MRS. AMY MARIE SURBURG ANP (NPI 1356649313) is an individual adult health provider in Carbondale, Illinois, licensed in Illinois (209.008246) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356649313
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. AMY MARIE SURBURGCredential: ANP
Location Address405 W JACKSON, PRE-ANESTHESIA DEPARTMENTCarbondale, IL 62901-9000
Mailing Address405 W Jackson, Pre-anesthesia DepartmentCarbondale, IL 62901-9000 · (618) 549-0721 · Fax (618) 529-0431
Phone(618) 549-0721
Fax(618) 529-0431
Sole ProprietorYes
Enumeration DateMarch 1, 2011
✔ NPI 1356649313 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 IL · 209.008246
405 W JACKSON, Carbondale, IL 62901
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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. Amy Marie Surburg Anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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 2

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

SOUTHERN ILLINOIS HOSPITAL SERVICES
General Acute Care Hospital
405 W JACKSON
CARBONDALE, IL 62901
Jackson County (618) 457-5200
DR. SATYANARAYANA RAO VAIDYA MD
Internal Medicine
405 W JACKSON
CARBONDALE, IL 62901
Jackson County (618) 549-0721

Frequently Asked Questions

What is Amy Surburg's NPI number?

The NPI number assigned to this healthcare provider is 1356649313, enumerated as an "individual" on March 01, 2011.

Where is the provider located?

The provider is located at 405 W JACKSON PRE-ANESTHESIA DEPARTMENT CARBONDALE, IL 62901 and the phone number is (618) 549-0721.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.