Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Tracy Ann Andersen , PNP

Nurse Practitioner - Pediatrics β€’ Springfield, IL

Active NPI 1295826717 Individual Practitioner Female Practitioner
Practice location in NPPES

3501 Old Jacksonville Rd
Springfield, IL 627118358

Call 2175287541 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3501 Old Jacksonville Rd

Springfield, IL 627118358

Telephone 2175287541
Organization at the Same NPPES Address or Phone
Springfield Clinic Llp Facility NPI 1013255942

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Tracy Andersen has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Tracy Andersen as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Springfield and Illinois

16 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Springfield, IL (687 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

0% of these 16 clinicians have the CMS telehealth indicator.

0% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-31
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES IL 209002042
Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES FL APRN1006087
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20161209000508

Enrollment State Jurisdiction

IL

PECOS Control ID

8921388943

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

35 listed
Taylor Cook , APRN

Nurse Practitioner - Family

NPI 1063085645

Advanced Practice Registered Nurse

Dr. Madhu Dukkipati , MD

Internal Medicine - Interventional Cardiology

NPI 1063436715

Doctor of Medicine (M.D.)

Jeremy Elliott

Nurse Practitioner - Family

NPI 1003416546
Delores Gallo , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013984889

Certified Registered Nurse Anesthetist

NPI 1013126317
Carol Harper , PA-C

Physician Assistant

NPI 1013008796

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
πŸ“
Updated Practice Location July 31, 2025

Registered at 3501 OLD JACKSONVILLE RD, SPRINGFIELD, IL 627118358 (Tel: 2175287541)

πŸ“
Updated Business Mailing Address July 31, 2025

Registered at PO BOX 19248, SPRINGFIELD, IL 627949248 (Tel: 2175287541)

πŸ“
Updated Practice Location November 15, 2023

Registered at 4755 SUMMERLIN RD STE 8, FORT MYERS, FL 339191073 (Tel: 2393602634)

πŸ“
Updated Business Mailing Address November 15, 2023

Registered at 76 HIBISCUS DR, PUNTA GORDA, FL 339505078 (Tel: 2176220561)

πŸ‘€
Provider Name / Credentials Updated November 15, 2023

Recorded as TRACY ANDERSEN, PNP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2023

Nurse Practitioner (license number reported to NPPES: FL APRN1006087)

πŸ“
Updated Practice Location February 26, 2018

Registered at 1 CHILDRENS PL STE 9S, STE 9S, SAINT LOUIS, MO 631101002 (Tel: 3144546018)

πŸ“
Updated Business Mailing Address February 26, 2018

Registered at 1 CHILDRENS PL, NWT 1230 CB 8116, SAINT LOUIS, MO 631101002 (Tel: 3144546018)

πŸ‘€
Provider Name / Credentials Updated February 26, 2018

Recorded as TRACY PURSEGLOVE, PNP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2018

Nurse Practitioner (license number reported to NPPES: MO 2017035519)

βœ…
NPI Profile Active February 03, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 03, 2009

Registered at 2200 WABASH AVE, SPRINGFIELD, IL 627045352 (Tel: 2175287541)

πŸ“
Business Mailing Address (Initial Record) February 03, 2009

Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 2175287541)

πŸ‘€
Provider Name / Credentials (Initial Record) February 03, 2009

Recorded as TRACY PURSEGLOVE, CPNP-PC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2009

Nurse Practitioner (license number reported to NPPES: IL 209-002042)

🟒
Initial NPI Registration & Enumeration September 28, 2006

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1295826717
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2006
Last Update: July 31, 2025
Sole Proprietor: No

Mailing Address

Po Box 19248

Springfield, IL 627949248

Phone: 2175287541

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.