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ANDREA STAPLES APRN, FNP-C
NPI 1497598551
Nurse Practitioner - Family in Jacksonville, IL

Active since June 17, 2024PECOS EnrolledAccepts Medicare Assignment
15 FOUNDERS LN, JACKSONVILLE, IL 62650(217) 291-1041 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2024, Nov 18, 2024, Jun 17, 2024 (3 updates tracked since 2024).

About Andrea Staples Aprn, Fnp-c NPPES

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

ANDREA STAPLES APRN, FNP-C (NPI 1497598551) is an individual family provider in Jacksonville, Illinois, licensed in Illinois (209030187) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1497598551
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA STAPLESCredential: APRN, FNP-C
Location Address15 FOUNDERS LNJacksonville, IL 62650-3919
Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541
Phone(217) 291-1041
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 17, 2024
Last NPPES UpdateDecember 19, 20243 updates tracked since enumeration
NPPES CertifiedDecember 19, 2024
✔ NPI 1497598551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209030187
15 FOUNDERS LN, Jacksonville, IL 62650
Open in Google Maps ↗

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

Andrea Staples Aprn, Fnp-c 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 ID4981144953
PECOS Enrollment IDI20240905003060
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

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
15 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Jacksonville Memorial Hospital

Critical Access Hospitals · Jacksonville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141352
Location1600 W Walnut StJacksonville, IL 62650 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62650 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 20

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

CORAL JEANNE ARMOUR LCSW
Social Worker (Clinical)
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Morgan County (217) 291-1041
KACI N HAVLIN
Nurse Practitioner (Family)
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Morgan County (217) 528-7541
ABIGAIL S WHITE MD
Surgery
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Morgan County (217) 528-7541
MOLLY TAYLOR FNP
Nurse Practitioner (Family)
15 FOUNDERS LN, SUITE 100
JACKSONVILLE, IL 62650
Morgan County (217) 243-0300
HASAN FARID HASAN OTHMAN MD
Pediatrics
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Morgan County (217) 243-0300
KAITLYN RENEE DAVIDSON NP-C
Nurse Practitioner (Family)
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Morgan County (217) 528-7541
MOSAM B PATEL M.D.
Family Medicine
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Morgan County (217) 528-7541
DR. KIM WYATT MD
Family Medicine
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Morgan County (217) 528-7541

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 Andrea Staples's NPI number?

The NPI number for Andrea Staples is 1497598551. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Andrea Staples located?

Andrea Staples practices at 15 Founders Ln, Jacksonville, IL 62650. The listed phone number is (217) 291-1041.

What is Andrea Staples's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andrea Staples enrolled in Medicare?

Yes. Andrea Staples 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 Andrea Staples affiliated with any hospitals?

According to CMS data, Andrea Staples is affiliated with Memorial Medical Center and Jacksonville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Staples was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.