Individual provider Active NPI

Anna Marie Herring, DNP FNP-C

  • Family Nurse Practitioner
  • Shiloh, IL
National Provider Identifier
1083208565
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209026911 Issued in IL
Practice address
325 Tamarack LN
Shiloh, IL 62269-2993
Phone
(618) 624-2060
NPI assigned
Feb 24, 2021
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209026911 IL Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

325 Tamarack LN
Shiloh, IL 62269-2993

Mailing address

22 Oaklawn Dr
Granite City, IL 62040-3808
Phone (618) 610-2899

Other practice location 1

600 Move Blvd
Greenville, NC 27834
Phone (252) 744-6478

Other names 1

  • Anna Marie Hagnauer Former name

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
I20230320002250 IL Practitioner - Nurse Practitioner 0143693291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Asthma and Immunology Center SCGroup PAC ID 9830299247, 6 clinicians

Practice addresses (Care Compare)

325 Tamarack LN
Shiloh, IL 62269-2993
Phone (618) 624-2060

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209026911ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy, Asthma & Immunology Center SC CurrentSince Mar 16, 2023 Accepting new patients

Locations

2023 Vadalabene Dr
Ste 151
Maryville, IL 62062
Phone (618) 624-2060

325 Tamarack Ln
Shiloh, IL 62269
Phone (618) 624-2060

Organizations & group practices 1

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

Hospital & facility affiliations 1

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": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1083208565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 OAKLAWN DR",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620403808",
            "telephone_number": "618-610-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 TAMARACK LN",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622692993",
            "telephone_number": "618-624-2060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Move Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "27834",
            "country_code": "US",
            "telephone_number": "252-744-6478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRING",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DNP FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209026911",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "HAGNAUER",
            "middle_name": "MARIE",
            "credential": "DNP FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shiloh, IL

Sources for this page

Verify at the official NPI Registry.