ANN MARTHA MARIE IBBERSON PA
NPI 1760364384
Physician Assistant in Centralia, IL

Q: What is Ann Ibberson's NPI number?

The NPI number for Ann Ibberson is 1760364384. It was assigned to this individual provider in the NPPES registry on July 24, 2025.

Q: What is Ann Ibberson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ann Ibberson was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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, 2025PECOS EnrolledAccepts Medicare Assignment

400 N PLEASANT AVE, CENTRALIA, IL 62801(618) 436-8000 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ann Martha Marie Ibberson Pa NPPES

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

ANN MARTHA MARIE IBBERSON PA (NPI 1760364384) is an individual physician assistant in Centralia, Illinois and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and is a graduate of Southern Illinois University School Of Medicine (2025).

NPPES Registry Identity

NPI1760364384

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameANN MARTHA MARIE IBBERSONCredential: PA

Location Address400 N PLEASANT AVECentralia, IL 62801-3056

Mailing Address1120 N 1st StBreese, IL 62230-1736 · (217) 971-4764

Phone(618) 436-8000

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2025

Enumeration DateJuly 24, 2025

NPPES CertifiedJuly 23, 2025

✔ NPI 1760364384 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.

400 N PLEASANT AVE, Centralia, IL 62801

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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

Ann Martha Marie Ibberson 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 ID9931697166

PECOS Enrollment IDI20251021001573

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 2

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

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140034

Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County

Emergency services

Salem Township Hospital

Critical Access Hospitals · Salem, IL

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number141345

Location1201 Ricker DriveSalem, IL 62881 · Marion County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62801 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.

HONG CHEN MD

Pathology (Anatomic Pathology & Clinical Pathology)