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HILARY LOONEY RN
NPI 1558075861
Nurse Practitioner - Family in Albertville, AL

Active since January 11, 2023PECOS EnrolledAccepts Medicare Assignment
750 AL HIGHWAY 75 N, ALBERTVILLE, AL 35951(256) 878-1398 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2023, Jan 11, 2023 (2 updates tracked since 2023).

About Hilary Looney Rn NPPES

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

HILARY LOONEY RN (NPI 1558075861) is an individual family provider in Albertville, Alabama, licensed in Alabama (1-155832) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1558075861
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHILARY LOONEYCredential: RN
Location Address750 AL HIGHWAY 75 NAlbertville, AL 35951-4014
Mailing Address100 Perry Hill Rd Ste 575Montgomery, AL 36109-3630 · (334) 290-9333
Phone(256) 878-1398
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 11, 2023
Last NPPES UpdateFebruary 8, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2023
✔ NPI 1558075861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-155832
Also ListedRegistered NurseTaxonomy 163W00000X · License 1-155832 (AL)
750 AL HIGHWAY 75 N, Albertville, AL 35951
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Hilary Looney Rn 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 ID2466827571
PECOS Enrollment IDI20230403001611
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 7

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
371 services106 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
159 services75 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
144 services110 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
108 services48 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
74 services37 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
60 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35951 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

ALBERTVILLE HEALTHCARE CENTER, INC.
Skilled Nursing Facility
750 AL HIGHWAY 75 N
ALBERTVILLE, AL 35951
Marshall County (256) 878-1398
ASHLEY SUZANNE JONES
Nurse Practitioner (Family)
750 AL HIGHWAY 75 N
ALBERTVILLE, AL 35951
Marshall County (256) 878-1398

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 Hilary Looney's NPI number?

The NPI number for Hilary Looney is 1558075861. It was assigned to this individual provider in the NPPES registry on January 11, 2023.

Where is Hilary Looney located?

Hilary Looney practices at 750 Al Highway 75 N, Albertville, AL 35951. The listed phone number is (256) 878-1398.

What is Hilary Looney's specialty?

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

Is Hilary Looney enrolled in Medicare?

Yes. Hilary Looney 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.

What insurance does Hilary Looney accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Hilary Looney as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hilary Looney was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.