Individual provider Active NPI

Christopher Engele

  • Family Nurse Practitioner
  • Greenville, IL
National Provider Identifier
1013464031
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209014790 Issued in IL
Practice address
200 Health Care Dr
Greenville, IL 62246-1154
Phone
(618) 664-1230
NPI assigned
Sep 7, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 041399470 IL
Family Nurse Practitioner 363LF0000X 209014790 IL Primary

Addresses

Primary practice location

200 Health Care Dr
Greenville, IL 62246-1154

Mailing address

196 E Walnut St
Nashville, IL 62263-1717
Phone (618) 237-0259

Other practice location 1

320 E Highway 50
O Fallon, IL 62269-2704
Phone (618) 624-3368 ext. 213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161121000858 IL Practitioner - Nurse Practitioner 8729367487 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America-Illinois Hospitalists, LLPGroup PAC ID 3274765904, 193 clinicians

Practice addresses (Care Compare)

1 Saint Anthonys Way
Alton, IL 62002-4568
Phone (618) 465-2571

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

9515 Holy Cross LN
Breese, IL 62230-3618
Phone (618) 526-4511

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Breese, IL, CCN 140145
  • HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187
  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032
  • St Josephs Hospital Nursing home, CCN 14U145

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.63
Improvement activities
40
Cost
81.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041399470ILMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Illinois SNF, LLP Current Accepting new patients
Cep America-Illinois Hospitalists, LLP CurrentSince Sep 1, 2017 Accepting new patients
Cep America - Illinois SNF, LLP CurrentSince Oct 1, 2018 Accepting new patients
Midwest Emergency Sparta, Inc CurrentSince Oct 18, 2016 Accepting new patients
Cep America-Illinois Hospitalists CurrentSince Sep 1, 2017 Accepting new patients
Cep America-Illinois Hospitalists, LLP Current Accepting new patients
Cep America - Illinois SNF LLP CurrentSince Oct 1, 2018 Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3523 Wickenhauser Ave
Alton, IL 62002
Phone (618) 465-8887

3490 Humbert Rd
Alton, IL 62002
Phone (618) 465-2626

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

601 W Lincoln Ave
Caseyville, IL 62232
Phone (618) 344-9355

1623 W Delmar Ave
Godfrey, IL 62035
Phone (618) 466-0443

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

320 E Highway 50
O Fallon, IL 62269
Phone (618) 624-3368

2351 Frank Scott Pkwy E
Shiloh, IL 62269
Phone (217) 620-3319

818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1013464031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 E WALNUT ST",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631717",
            "telephone_number": "618-237-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEALTH CARE DR",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461154",
            "telephone_number": "618-664-1230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E Highway 50",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622692704",
            "country_code": "US",
            "telephone_number": "618-624-3368 x213",
            "fax_number": "618-624-3387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGELE",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-07",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IL",
            "license": "041399470",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, IL

Sources for this page

Verify at the official NPI Registry.