AUDREY THURSBY (DNP, AGPCBP-BC) – Gerontology Nurse Practitioner, NPI 1356993372

AUDREY THURSBY (DNP, AGPCBP-BC) is a healthcare provider. based in Springfield, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, AGPCBP-BC. They hold a License No. 209.019621 (IL). The NPI Number for AUDREY THURSBY (DNP, AGPCBP-BC) is 1356993372

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
AUDREY THURSBY (DNP, AGPCBP-BC)
NPI
1356993372
Phone
(217) 788-2300
Address
2239 E COOK ST
Enumeration Date
10 July 2019
Last Update Date
20 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
2175458000
Graduation Year
2019 (7 years ago)
PAC ID
2365778388
Group Practice PAC ID
2365352820
Professional Enrollment ID
I20190730001133
Address ID
IL627024968SP751XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:6State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for AUDREY THURSBY (DNP, AGPCBP-BC)

  • Schnucks Pharmacy, 2239, East Cook Street, East Springfield, Springfield, Sangamon County, Illinois, 62703, United States

    SPRINGFIELD, IL 627031944

    Phone: (217) 788-2300

    Type: Mailing

  • 20733 N Broad St

    Carlinville, IL 626263710

    Phone: (217) 545-8000

    Fax: (217) 854-6462

    Type: Location

  • 1215 Franciscan Dr

    Litchfield, IL 620561778

    Phone: (217) 545-8000

    Type: Location

  • 2239 E Cook St

    Springfield, IL 627031944

    Phone: (217) 788-2300

    Type: Location

  • PO BOX 19639

    SPRINGFIELD, IL 627949639

    Phone: (217) 545-8000

    Fax: (844) 470-2486

    Type: Mailing

  • 751 N RUTLEDGE ST STE 1700

    SPRINGFIELD, IL 627024968

    Phone: (217) 545-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $71.

Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($34).

Total Amount

$71

General + Research + Ownership

Payments

4

Total payment records

General Amount

$71

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190730001133INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 62703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365352820View full group profile
NameSpecialtyState
Internal MedicineIL
Physician AssistantIL
Pulmonary DiseaseIL
D E R M A T O L O G YIL
-IL
E N D O C R I N O L O G YIL
Physician AssistantIL
General SurgeryIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is AUDREY THURSBY (DNP, AGPCBP-BC)'s NPI number?
AUDREY THURSBY (DNP, AGPCBP-BC)'s NPI is 1356993372 — the number used across U.S. healthcare to identify this provider.
Would AUDREY THURSBY (DNP, AGPCBP-BC) appear as active to a payer?
You can treat AUDREY THURSBY (DNP, AGPCBP-BC) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for AUDREY THURSBY (DNP, AGPCBP-BC)?
At a glance, AUDREY THURSBY (DNP, AGPCBP-BC) is tied to Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is AUDREY THURSBY (DNP, AGPCBP-BC) associated with Springfield?
Public fields place AUDREY THURSBY (DNP, AGPCBP-BC) around Springfield, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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