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EFFINGHAM OBSTETRICS AND GYNECOLOGY ASSOCIATES PLLC
NPI 1649677063
Obstetrics & Gynecology in Effingham, IL

Active since December 01, 2014
912 N HENRIETTA ST, EFFINGHAM, IL 62401(217) 342-3337(217) 347-3328 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 8, 2023, May 5, 2021, Mar 7, 2020 and 1 more (4 updates tracked since 2018).

About Effingham Obstetrics And Gynecology Associates Pllc NPPES

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

EFFINGHAM OBSTETRICS AND GYNECOLOGY ASSOCIATES PLLC (NPI 1649677063) is a healthcare organization registered as an obstetrics & gynecology in Effingham, Illinois and active in the NPI registry since December 2014. The organization lists Kelly Hunt Haller, Member, as its authorized official.

NPPES Registry Identity

NPI1649677063
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameEFFINGHAM OBSTETRICS AND GYNECOLOGY ASSOCIATES PLLC
Location Address912 N HENRIETTA STEffingham, IL 62401
Mailing AddressPo Box 784Effingham, IL 62401-0784 · (217) 342-3337 · Fax (217) 347-3328
Phone(217) 342-3337
Fax(217) 347-3328
Organization SubpartNo
Authorized OfficialKelly Hunt HallerMember · (217) 342-3337
Enumeration DateDecember 1, 2014
Last NPPES UpdateNovember 8, 20234 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
✔ NPI 1649677063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
912 N HENRIETTA ST, Effingham, IL 62401
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Other Identifiers 1

Medicaid371326540002IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Effingham Obstetrics And Gynecology Associates Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Effingham Obstetrics And Gynecology Associates PLLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Obstetrics/Gynecology7
Certified Nurse Midwife (CNM)2
Nurse Practitioner2

Clinicians, nearest first (11)

Stephanie Gordon, CNM
Certified Nurse Midwife (CNM)
NPI 1174992127
912 N HENRIETTA ST
Effingham, IL 62401
(217) 342-3337
✔ PECOS✔ Accepts MedicareSame address
Kelly Haller, MD
Obstetrics/Gynecology
NPI 1871589382
912 N HENRIETTA ST
Effingham, IL 62401
(217) 342-3337
✔ PECOS✔ Accepts MedicareSame address
Abbie Massengill, M.D.
Obstetrics/Gynecology
NPI 1396129243
912 N HENRIETTA ST
Effingham, IL 62401
(217) 342-3337
✔ PECOS✔ Accepts MedicareSame address
Dawn Mcdaid, M.D.
Obstetrics/Gynecology
NPI 1841373156
912 N HENRIETTA ST
Effingham, IL 62401
(217) 342-3337
✔ PECOSSame address
Jennifer Dust, M.D.
Obstetrics/Gynecology
NPI 1255537197
912 N HENRIETTA ST
Effingham, IL 62401
(217) 342-3337
✔ PECOS✔ Accepts MedicareSame address
Mary Jo Bierman, APN
Nurse Practitioner
NPI 1588273916
905 N MAPLE ST
Effingham, IL 62401
(217) 258-4186
✔ PECOS✔ Accepts Medicare1.1 mi
Julie Brasel, C.N.M.
Certified Nurse Midwife (CNM)
NPI 1093268583
544 W PERSHING RD
Decatur, IL 62526
(217) 872-2400
✔ PECOS✔ Accepts Medicare56 mi
Tiffani Dillard, MD
Obstetrics/Gynecology
NPI 1871695684
602 W. UNIVERSITY AVENUE OB/GYN
Urbana, IL 61801
(217) 383-3140
✔ PECOS✔ Accepts Medicare70 mi
Bailey Notzke, APRN, CNP
Nurse Practitioner
NPI 1588384473
611 W PARK ST
Urbana, IL 61801
(217) 383-3140
✔ PECOS✔ Accepts Medicare70 mi
Marc Luckett, M.D.
Obstetrics/Gynecology
NPI 1881667608
12303 DE PAUL DR
Bridgeton, MO 63044
(314) 344-6000
✔ PECOS✔ Accepts Medicare104 mi
Eric Simons, MD
Obstetrics/Gynecology
NPI 1598762577
1500 E DOWNING ST STE 208
Tahlequah, OK 74464
(918) 456-2496
✔ PECOS✔ Accepts Medicare415 mi

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

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 Effingham Obstetrics And Gynecology Associates PLLC's NPI number?

The NPI number for Effingham Obstetrics And Gynecology Associates PLLC is 1649677063. It was assigned to this organization in the NPPES registry on December 1, 2014.

Where is Effingham Obstetrics And Gynecology Associates PLLC located?

Effingham Obstetrics And Gynecology Associates PLLC is located at 912 N Henrietta St, Effingham, IL 62401. The listed phone number is (217) 342-3337.

What is Effingham Obstetrics And Gynecology Associates PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Effingham Obstetrics And Gynecology Associates PLLC enrolled in Medicare?

Yes. Effingham Obstetrics And Gynecology Associates PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Effingham Obstetrics And Gynecology Associates PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Effingham Obstetrics And Gynecology Associates PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Obstetrics/Gynecology (7), Certified Nurse Midwife (CNM) (2) and Nurse Practitioner (2). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Effingham Obstetrics And Gynecology Associates PLLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Effingham Obstetrics And Gynecology Associates PLLC 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 Effingham Obstetrics And Gynecology Associates PLLC was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.