ANDREA HAMMER
NPI 1841928967
Nurse Practitioner in Carbondale, IL
About Andrea Hammer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA HAMMER (NPI 1841928967) is an individual nurse practitioner in Carbondale, Illinois, licensed in Illinois (209025636) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of Carbondale, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Andrea Hammer 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.
Medicare Billing Reassignment
Medicare enrollment records show Andrea Hammer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carbondale, IL 62901
- Reassigned Medicare billing, Illinois enrollment
- 702 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital Of Carbondale
Acute Care Hospitals · Carbondale, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Andrea Hammer's NPI number?
The NPI number for Andrea Hammer is 1841928967. It was assigned to this individual provider in the NPPES registry on August 9, 2022.
Where is Andrea Hammer located?
Andrea Hammer practices at 305 W Jackson St Ste 206, Carbondale, IL 62901. The listed phone number is (184) 573-0066.
What is Andrea Hammer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Andrea Hammer enrolled in Medicare?
Yes. Andrea Hammer 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.
Which organization bills Medicare for Andrea Hammer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Hammer reassigns Medicare benefits to Southern Illinois Medical Services, Nfp (Carbondale, IL). The 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 Andrea Hammer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrea Hammer accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Andrea Hammer 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 Andrea Hammer affiliated with any hospitals?
According to CMS data, Andrea Hammer is affiliated with Memorial Hospital Of Carbondale.
When was this NPI record last updated?
The NPPES record for Andrea Hammer was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Andrea Hammer · NPI 1841928967
Nurse Practitioner physician in Carbondale, Illinois. Individual provider, active in the CMS NPPES registry since August 9, 2022.
## Identity
- **NPI:** 1841928967 (Entity type: Individual)
- **Enumerated:** August 9, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 209025636 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 305 W JACKSON ST STE 206, Carbondale, IL 62901-1474
- **Phone:** (184) 573-0066 · **Fax:** (618) 457-3007
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern Illinois Medical Services, Nfp (NPI 1770656837, Carbondale, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** February 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1841928967) · Data from the CMS NPPES public registry.