CMS-1500 Box 24J / 33a • NPI
1558586180
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
367500000X (CMS 43)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered
Box 32 Service Location & ZIP+4
200 STAHLHUT DR, LINCOLN, IL, 62656-5066
✓ 9-Digit EDI 837 ZIP+4 (62656-5066)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1558586180 (ABRAHAM LINCOLN MEMORIAL HOSPITAL) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1558586180 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ABRAHAM LINCOLN MEMORIAL HOSPITAL |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered NUCC Code: 367500000X (Nurse Anesthetist, Certified Registered) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 200 STAHLHUT DR, LINCOLN, IL, 62656-5066 |
| Practice Telephone / Fax | Tel: (217) 732-2161 | Fax: (217) 735-3526 |
| Administrative Mailing Address | PO BOX 3428, SPRINGFIELD, IL, 62708-3428 |
| Enumeration & Last Sync | Enumerated: 2007-04-17 | CMS Record Updated: 2021-03-10 |
| Authorized Official | HEIDI MALTIMORE (Manager) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in LINCOLN
🔒 Are you ABRAHAM LINCOLN MEMORIAL HOSPITAL? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (367500000X)
What Does Taxonomy Code 367500000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367500000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ABRAHAM LINCOLN MEMORIAL HOSPITAL)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
261QM1300X — Clinic/Center, Multi-SpecialtyPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
282N00000X — General Acute Care HospitalPlain English: Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care) | State: IL | License: 0000018 | Primary: Secondary |
367500000X — Nurse Anesthetist, Certified RegisteredPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.