TERRI LYNN BRADDOCK-HARTMAN APRN, BC
NPI 1477637551
Nurse Practitioner in Benton, IL

Q: What is Terri Braddock-hartman's NPI number?

The NPI number for Terri Braddock-hartman is 1477637551. It was assigned to this individual provider in the NPPES registry on October 25, 2006. The provider is also known as Terri Hartman Aprn, Bc.

Q: What is Terri Braddock-hartman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since October 25, 2006PECOS Enrolled

73.88/100

CMS Quality Rating

201 BAILEY LN, BENTON, IL 62812(618) 439-3161(618) 435-2969 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 30, 2023, Jan 26, 2023, Jun 18, 2019 and 2 more (5 updates tracked since 2016).

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About Terri Lynn Braddock-hartman Aprn, Bc NPPES

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

TERRI LYNN BRADDOCK-HARTMAN APRN, BC (NPI 1477637551) is an individual nurse practitioner in Benton, Illinois, licensed in Illinois (209003437) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477637551

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTERRI LYNN BRADDOCK-HARTMANCredential: APRN, BC

Location Address201 BAILEY LNBenton, IL 62812-1969

Mailing Address309 W Saint Louis St, Ste CWest Frankfort, IL 62896-2047 · (618) 899-3636 · Fax (618) 241-4863

Phone(618) 439-3161

Fax(618) 435-2969

Sole ProprietorNo

Enumeration DateOctober 25, 2006

Last NPPES UpdateMarch 30, 20235 updates tracked since enumeration

NPPES CertifiedMarch 30, 2023

✔ NPI 1477637551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209003437

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209-003437 (IL)

201 BAILEY LN, Benton, IL 62812

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Other Names 1

Other Name (5)Terri Hartman Aprn, Bc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Terri Lynn Braddock-hartman Aprn, Bc 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.

Medicare Billing Reassignment

Medicare enrollment records show Terri Braddock-hartman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Deaconess Illinois Specialty Clinic, Inc.

Same address

Orthopaedic Surgery

205 BAILEY LN STE F
Benton, IL 62812

Reassigned Medicare billing, Illinois enrollment
228 clinicians in this Medicare group

NPI 1629785183 (618) 882-4200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62812 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.88/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

53.79

Promoting Interoperability

Improvement Activities

Cost

56.52

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers12 claims12 services$91.26 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$33.20 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

ALLIANCE HEALTHCARE SERVICES INC

Clinic/Center (Magnetic Resonance Imaging (MRI))