ADVANCED PRACTICE NURSING SERVICES INC
NPI 1861867863
Nurse Practitioner - Adult Health in Freeburg, IL

Active since December 02, 2015
746 URBANNA DR, FREEBURG, IL 62243(618) 792-3586 Get Directions Write a Review

NPPES record last updated: August 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 14, 2016, Dec 2, 2015 (2 updates tracked since 2015).

About Advanced Practice Nursing Services Inc NPPES

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

ADVANCED PRACTICE NURSING SERVICES INC (NPI 1861867863) is a healthcare organization registered as an adult health in Freeburg, Illinois and active in the NPI registry since December 2015. The organization maintains a secondary practice location in Mascoutah and lists Kelly Whitaker, President, as its authorized official.

NPPES Registry Identity

NPI1861867863
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameADVANCED PRACTICE NURSING SERVICES INC
Location Address746 URBANNA DRFreeburg, IL 62243-1904
Mailing AddressPo Box 303Mascoutah, IL 62258-0303 · (618) 792-3586 · Fax (636) 333-4510
Organization SubpartNo
Authorized OfficialKelly WhitakerPresident · (618) 792-3586
Enumeration DateDecember 2, 2015
Last NPPES UpdateAugust 6, 20232 updates tracked since enumeration
NPPES CertifiedAugust 6, 2023
✔ NPI 1861867863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
746 URBANNA DR, Freeburg, IL 62243

Secondary Practice Location 1

Location 11207 Larkspur DrMascoutah, IL 62258-2739 · Phone (618) 792-3586

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Practice Nursing Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Advanced Practice Nursing Services Inc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1386932028
124 W MAIN ST
Mascoutah, IL 62258
(186) 402-5572
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1265548986
124 W MAIN ST
Mascoutah, IL 62258
(618) 670-7801
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1356697726
124 W MAIN ST
Mascoutah, IL 62258
(618) 792-8537
✔ PECOS7.6 mi
Nurse Practitioner
NPI 1710549613
39 DOROTHY DR
Troy, IL 62294
(618) 530-5079
✔ PECOS✔ Accepts Medicare22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2312327

Advanced Practice Nursing Services, Inc · Mascoutah, IL
Expired · Oct 8, 2026
CLIA Number14D2312327
Laboratory TypePractitioner Other
Certificate Effective DateOctober 9, 2024
Certificate Expiration DateOctober 8, 2026
Laboratory DirectorKelly M. Whitaker
Laboratory Phone(618) 792-3586
Laboratory LocationAdvanced Practice Nursing Services, Inc124 W Main St, Mascoutah, IL 62258
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Advanced Practice Nursing Services Inc's NPI number?

The NPI number for Advanced Practice Nursing Services Inc is 1861867863. It was assigned to this organization in the NPPES registry on December 2, 2015.

Where is Advanced Practice Nursing Services Inc located?

Advanced Practice Nursing Services Inc is located at 746 Urbanna Dr, Freeburg, IL 62243. The listed phone number is (618) 792-3586.

What is Advanced Practice Nursing Services Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Advanced Practice Nursing Services Inc enrolled in Medicare?

Yes. Advanced Practice Nursing Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Practice Nursing Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Advanced Practice Nursing Services Inc. A 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 the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Practice Nursing Services Inc accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Advanced Practice Nursing Services Inc 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.

When was this NPI record last updated?

The NPPES record for Advanced Practice Nursing Services Inc was last updated on August 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.