MISS ALISEA MARIE HIBBS PA
NPI 1689356404
Physician Assistant in Springfield, IL

Active since August 02, 2023PECOS EnrolledAccepts Medicare Assignment
2200 WABASH AVE, SPRINGFIELD, IL 62704(217) 528-7541 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Alisea Marie Hibbs Pa NPPES

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

MISS ALISEA MARIE HIBBS PA (NPI 1689356404) is an individual physician assistant in Springfield, Illinois and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1689356404
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS ALISEA MARIE HIBBSCredential: PA
Location Address2200 WABASH AVESpringfield, IL 62704-5352
Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 2, 2023
Last NPPES UpdateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
NPI 1689356404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2200 WABASH AVE, Springfield, IL 62704

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

Miss Alisea Marie Hibbs Pa 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 ID8921532813
PECOS Enrollment IDI20241114003135
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.

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62704 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
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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.

Family Medicine
2200 WABASH AVE
SPRINGFIELD, IL 62704
Physician Assistant
2200 WABASH AVE
SPRINGFIELD, IL 62704
Physician Assistant
2200 WABASH AVE
SPRINGFIELD, IL 62704
Family Medicine
2200 WABASH AVE
SPRINGFIELD, IL 62704
Nurse Practitioner (Family)
2200 WABASH AVE
SPRINGFIELD, IL 62704
Dietitian, Registered
2200 WABASH AVE
SPRINGFIELD, IL 62704
Nurse Practitioner (Family)
2200 WABASH AVE
SPRINGFIELD, IL 62704
Social Worker (Clinical)
2200 WABASH AVE
SPRINGFIELD, IL 62704

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 Alisea Hibbs's NPI number?

The NPI number for Alisea Hibbs is 1689356404. It was assigned to this individual provider in the NPPES registry on August 2, 2023.

Where is Alisea Hibbs located?

Alisea Hibbs practices at 2200 Wabash Ave, Springfield, IL 62704. The listed phone number is (217) 528-7541.

What is Alisea Hibbs's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alisea Hibbs enrolled in Medicare?

Yes. Alisea Hibbs 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 Alisea Hibbs affiliated with any hospitals?

According to CMS data, Alisea Hibbs is affiliated with Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Alisea Hibbs was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.