1. Home
  2. Directory
  3. Illinois
  4. Belleville
  5. Clinical Nurse Specialist
  6. NPI Profile

LINDSEY MICHELLE SENCI FNP-C
NPI 1649771544
Clinical Nurse Specialist in Belleville, IL

Active since February 26, 2018PECOS EnrolledAccepts Medicare Assignment
74.42/100
CMS Quality Rating
4600 MEMORIAL DR STE W3, BELLEVILLE, IL 62226(618) 222-8900(618) 222-8950 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 28, 2018, Feb 26, 2018 (2 updates tracked since 2018).

About Lindsey Michelle Senci Fnp-c NPPES

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

LINDSEY MICHELLE SENCI FNP-C (NPI 1649771544) is an individual clinical nurse specialist in Belleville, Illinois, licensed in Illinois (209016936) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Anderson Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1649771544
Entity TypeIndividualFemale
Primary Taxonomy364S00000X
Provider Legal NameLINDSEY MICHELLE SENCICredential: FNP-C
Location Address4600 MEMORIAL DR STE W3Belleville, IL 62226-5359
Mailing Address5020 N Illinois StFairview Heights, IL 62208-3411 · (618) 222-8900 · Fax (618) 671-6716
Phone(618) 222-8900
Fax(618) 222-8950
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 26, 2018
Last NPPES UpdateNovember 28, 20182 updates tracked since enumeration
✔ NPI 1649771544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
License✔ Licensed in IL · 209016936
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
4600 MEMORIAL DR STE W3, Belleville, IL 62226
Open in Google Maps ↗

Accepted Insurance

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

Lindsey Michelle Senci 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 ID9537401534
PECOS Enrollment IDI20190423000919
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 6

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 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.
80 services67 patients
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.
61 services49 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
53 services53 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services14 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
15 services14 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

74.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.31
Promoting Interoperability85
Improvement Activities40
Cost56.92

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims32 services$5.74 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 3

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

DR. JOHN J LEHMAN JR. MD
Internal Medicine (Cardiovascular Disease)
4600 MEMORIAL DR STE W3
BELLEVILLE, IL 62226
St. Clair County (618) 233-3066
ALLYSON LEIGH ROSER PA
Physician Assistant
4600 MEMORIAL DR STE W3
BELLEVILLE, IL 62226
St. Clair County (618) 222-8900
ELIZABETH L CAPASSO-GULVE PA-C
Physician Assistant
4600 MEMORIAL DR STE W3
BELLEVILLE, IL 62226
St. Clair County (618) 222-8900

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 Lindsey Senci's NPI number?

The NPI number for Lindsey Senci is 1649771544. It was assigned to this individual provider in the NPPES registry on February 26, 2018.

Where is Lindsey Senci located?

Lindsey Senci practices at 4600 Memorial Dr Ste W3, Belleville, IL 62226. The listed phone number is (618) 222-8900.

What is Lindsey Senci's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Is Lindsey Senci enrolled in Medicare?

Yes. Lindsey Senci 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 Lindsey Senci accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Lindsey Senci 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.

Is Lindsey Senci affiliated with any hospitals?

According to CMS data, Lindsey Senci is affiliated with Anderson Hospital.

When was this NPI record last updated?

The NPPES record for Lindsey Senci was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.