Individual provider Active NPI

Andrea Stearns, NP

  • Nurse Practitioner
  • Mount Vernon, IL
National Provider Identifier
1063256857
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.030273 Issued in IL
Practice address
4000 S Water Tower PL
Mount Vernon, IL 62864-2349
Phone
(618) 246-2910
NPI assigned
Jun 25, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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 2

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sikeston Emergency Group LLC 19 clinicians
Deaconess Illinois Specialty Clinic, Inc. 145 clinicians
Deaconess Illinois Union County Hospital Inc 6 clinicians

Practice addresses (Care Compare)

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600

3333 W Deyoung St
Marion, IL 62959-5884
Phone (618) 998-7000

517 N Main St
Anna, IL 62906-1668
Phone (618) 833-2295

Hospital & facility affiliations

  • Deaconess Illinois Union County Hospital, Anna, IL, CCN 141342
  • Missouri Delta Medical Center Hospital, Sikeston, MO, CCN 260113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250715001656 IL Practitioner - Nurse Practitioner 8921513326 Reassigns benefits to 2 organizations
I20260521000398 MO Practitioner - Nurse Practitioner 8921513326 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.030273ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Illinois Specialty Clinic, Inc. Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Nurse Practitioner Current Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Deaconess Illinois Union County Hospital Inc Nurse Practitioner CurrentSince May 8, 2025 Accepting new patients
Deaconess Union County Hospital, Inc PastSince May 8, 2025 Accepting new patients
Deaconess Illinois Union County Hospital Inc Past Accepting new patients

Locations

517 N Main St
Rm 22
Anna, IL 62906
Phone (618) 833-2295

303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050

3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020

509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939

Interoperability endpoints

  • Direct secure messaging: astearns416177@direct.deaconess.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.030273 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

4000 S Water Tower PL
Mount Vernon, IL 62864-2349

Mailing address

211 W Spring St
Anna, IL 62906-1245
Phone (618) 967-4065

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 30, 2025.

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1063256857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W SPRING ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061245",
            "telephone_number": "618-967-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 S WATER TOWER PL",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642349",
            "telephone_number": "618-246-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEARNS",
        "first_name": "ANDREA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.030273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IL

Sources for this page

Verify at the official NPI Registry.