ANDREA NICOLE BLOODWORTH APN, BSN, RN
NPI 1588187397
Nurse Practitioner - Family in Springfield, IL

Q: What is Andrea Bloodworth's NPI number?

The NPI number for Andrea Bloodworth is 1588187397. It was assigned to this individual provider in the NPPES registry on July 24, 2017.

Q: What is Andrea Bloodworth's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Bloodworth was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 24, 2017PECOS EnrolledAccepts Medicare Assignment

94.61/100

CMS Quality Rating

1025 S 6TH ST, SPRINGFIELD, IL 62703(217) 528-7541 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2025, Dec 20, 2021, Apr 3, 2019 and 1 more (4 updates tracked since 2017).

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About Andrea Nicole Bloodworth Apn, Bsn, Rn NPPES

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

ANDREA NICOLE BLOODWORTH APN, BSN, RN (NPI 1588187397) is an individual family provider in Springfield, Illinois, licensed in Illinois (209016698) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1588187397

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANDREA NICOLE BLOODWORTHCredential: APN, BSN, RN

Location Address1025 S 6TH STSpringfield, IL 62703-2499

Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541

Phone(217) 528-7541

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 24, 2017

Last NPPES UpdateFebruary 27, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2026

✔ NPI 1588187397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209016698

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 209016698 (IL)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 209016698 (IL)

1025 S 6TH ST, Springfield, IL 62703

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Secondary Practice Locations 2

Location 1800 E Carpenter StSpringfield, IL 62769-1000 · Phone (217) 544-6464

Location 2619 E Mason St Ste 4P57Springfield, IL 62701 · Phone (217) 788-0706

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 Nicole Bloodworth Apn, Bsn, 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 ID2062778368

PECOS Enrollment IDI20171101003099

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 3

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 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.

774 services665 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 patients

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.

16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140053

Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County

Emergency services Birthing friendly

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

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140189

Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County

Emergency services Birthing friendly

Carlinville Area Hospital

Critical Access Hospitals · Carlinville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141347

Location20733 N Broad StreetCarlinville, IL 62626 · Macoupin County

Emergency services

St Francis Hospital

Critical Access Hospitals · Litchfield, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number141350

Location1215 Franciscan DrLitchfield, IL 62056 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62703 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.

94.61/100

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

Scored through an Alternative Payment Model

Quality

85.17

Promoting Interoperability

100

Improvement Activities

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.

JEREMY ELLIOTT

Nurse Practitioner (Family)