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Active NPI 1477637551 Individual Practitioner Female Practitioner

Terri Lynn Braddock-Hartman , APRN, BC

Nurse Practitioner • Benton, IL

Professional Overview & Biography Verified Profile Summary

Terri Braddock-Hartman, APRN, BC is a registered healthcare professional specializing in Nurse Practitioner in Benton, IL. Practice services are available at 201 BAILEY LN under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

201 Bailey Ln

Benton, IL 628121969

Telephone 6184393161
Fax 6184352969
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Benton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Benton, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
12 12 $158.03 $74.87

Medical Specialties & State Licenses

CMS Verified: 2023-03-30
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209003437

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IL 209-003437

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Chloe Goodwin , RN

Registered Nurse

NPI 1063396729

Registered Nurse

Robert Hitt , CRNA, APN

Registered Nurse

NPI 1194700369

Certified Registered Nurse Anesthetist, Advanced Practice Nurse

Dr. Robert Parks , MD

Internal Medicine

NPI 1356380497

Doctor of Medicine (M.D.)

NPI 1437608569

Doctor of Medicine (M.D.)

Lovelia Horn , PT

Physical Therapist

NPI 1487909446

Physical Therapist

Janet Porter , RD

Dietitian, Registered

NPI 1609253343

Registered Dietitian

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
👤
Provider Name / Credentials Updated June 18, 2019

Recorded as TERRI BRADDOCK-HARTMAN, APRN, BC

NPI Profile Active August 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2017

Registered at 201 BAILEY LN, BENTON, IL 628121969 (Tel: 6184393161)

📍
Updated Business Mailing Address August 18, 2017

Registered at 309 W SAINT LOUIS ST, STE C, WEST FRANKFORT, IL 628962047 (Tel: 6188993636)

👤
Provider Name / Credentials Updated August 18, 2017

Recorded as TERRI HARTMAN, APRN, BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2017

Nurse Practitioner (License #209-003437 in IL)

NPI Profile Active August 24, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2016

Registered at 201 BAILEY LN, BENTON, IL 628121969 (Tel: 6184393161)

📍
Updated Business Mailing Address August 24, 2016

Registered at 309 W SAINT LOUIS ST, STE C, WEST FRANKFORT, IL 628962047 (Tel: 6188993636)

👤
Provider Name / Credentials Updated August 24, 2016

Recorded as TERRI BRADDOCK-HARTMAN, APRN, BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2016

Nurse Practitioner (License #209-003437 in IL)

🟢
Initial NPI Registration & Enumeration October 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477637551
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2006
Last Update: March 30, 2023
Sole Proprietor: No

Mailing Address

309 W Saint Louis St, Ste C

West Frankfort, IL 628962047

Phone: 6188993636

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.