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MRS. ASHLEY RENEE BINGMAN FNP-C
NPI 1780142356
Nurse Practitioner in Swansea, IL

Active since March 03, 2019PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1 BRONZE POINTE BLVD STE 1A, SWANSEA, IL 62226(618) 233-7055 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Ashley Renee Bingman Fnp-c NPPES

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

MRS. ASHLEY RENEE BINGMAN FNP-C (NPI 1780142356) is an individual nurse practitioner in Swansea, Illinois, licensed in Illinois (1780142356) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1780142356
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. ASHLEY RENEE BINGMANCredential: FNP-C
Location Address1 BRONZE POINTE BLVD STE 1ASwansea, IL 62226-1045
Mailing Address832 N 10th StBreese, IL 62230-1060 · (618) 384-9645
Phone(618) 233-7055
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 3, 2019
Last NPPES UpdateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1780142356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 1780142356
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Pain ManagementTaxonomy 163WP0000X · License 209018890 (IL)
1 BRONZE POINTE BLVD STE 1A, Swansea, IL 62226
Open in Google Maps ↗

Other Identifiers 2

Other209018890IL · Advanced Practice Registered Nurse
Other209018890IL · Nurse Practitioner

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

Mrs. Ashley Renee Bingman 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 ID8628311826
PECOS Enrollment IDI20190509001567
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 7

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.
767 services236 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
314 services209 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.
253 services149 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.
62 services52 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.
44 services44 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.
31 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Crossroads Community Hospital

Acute Care Hospitals · Mount Vernon, IL
OwnershipProprietary
CMS Certification Number140294
Location8 Doctors Park RdMount Vernon, IL 62864 · Jefferson County
Emergency services

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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 2

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

DR. QAMAR U ZAMAN M.D.
Pediatrics
1 BRONZE POINTE BLVD STE 1A
SWANSEA, IL 62226
St. Clair County (216) 788-0808
MOONLIGHT PEDIATRICS LLC
Pediatrics
1 BRONZE POINTE BLVD STE 1A
SWANSEA, IL 62226
St. Clair County (216) 778-0808

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 Ashley Bingman's NPI number?

The NPI number for Ashley Bingman is 1780142356. It was assigned to this individual provider in the NPPES registry on March 3, 2019.

Where is Ashley Bingman located?

Ashley Bingman practices at 1 Bronze Pointe Blvd Ste 1A, Swansea, IL 62226. The listed phone number is (618) 233-7055.

What is Ashley Bingman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ashley Bingman enrolled in Medicare?

Yes. Ashley Bingman 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 Ashley Bingman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Ashley Bingman 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 Ashley Bingman affiliated with any hospitals?

According to CMS data, Ashley Bingman is affiliated with Ssm Health St Mary's Hospital -Centralia, Good Samaritan Regional Hlth Center and Crossroads Community Hospital.

When was this NPI record last updated?

The NPPES record for Ashley Bingman was last updated on March 27, 2024. 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.