DONALD DAVID ALTGILBERS, CRNFA — NPI 1770848368 (Licensed & Credentialed Registered Nurse, Registered Nurse First Assistant in QUINCY, IL)

CMS-1500 Box 24J / 33a • NPI

1770848368

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WR0006X

Licensed & Credentialed Registered Nurse, Registered Nurse First Assistant

Box 32 Service Location & ZIP+4

1005 BROADWAY ST, SURGICAL SERVICE, QUINCY, IL, 62301-2834

✓ 9-Digit EDI 837 ZIP+4 (62301-2834)

Practice Phone & Referral Fax

(217) 223-8400

Fax: (217) 223-9786

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1770848368 (DONALD DAVID ALTGILBERS, CRNFA) 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

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1770848368` (NPI-1 Individual Practitioner)
Provider / Legal Name	DONALD DAVID ALTGILBERS, CRNFA
Plain-English Specialty	Licensed & Credentialed Registered Nurse, Registered Nurse First Assistant NUCC Code: `163WR0006X` (Registered Nurse, Registered Nurse First Assistant)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1005 BROADWAY ST, SURGICAL SERVICE, QUINCY, IL, 62301-2834
Practice Telephone / Fax	Tel: (217) 223-8400 \| Fax: (217) 223-9786
Administrative Mailing Address	BROADWAY AT 11TH, QUINCY, IL, 62305-7005
Enumeration & Last Sync	Enumerated: 2012-07-10 \| CMS Record Updated: 2012-07-10

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1005 BROADWAY ST, SURGICAL SERVICE, QUINCY, IL, 62301-2834

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Plain-English Taxonomy & CMS Crosswalk (163WR0006X)

What Does Taxonomy Code 163WR0006X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WR0006X translates to:
"Licensed & Credentialed Registered Nurse, Registered Nurse First Assistant"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, Registered Nurse First Assistant for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DONALD DAVID ALTGILBERS, CRNFA)

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

Common Therapeutic Classes:

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
`163WR0006X` — Registered Nurse, Registered Nurse First Assistant Plain English: Licensed & Credentialed Registered Nurse, Registered Nurse First Assistant	State: IL \| License: `041-243172` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DONALD DAVID ALTGILBERS, CRNFA (NPI #1770848368)