Individual provider Active NPI

Annmarie S McDonagh, MD

  • Psychiatry Physician
  • Charleston, IL
National Provider Identifier
1093881153
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036-146788 Issued in IL
Practice address
700 W Lincoln Ave Ste 200
Charleston, IL 61920-2468
Phone
(217) 238-4866
Fax
(217) 258-4053
NPI assigned
Nov 28, 2006
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 8406 NH
Psychiatry Physician 2084P0800X 036-146788 IL Primary

Addresses

Primary practice location

700 W Lincoln Ave Ste 200
Charleston, IL 61920-2468

Mailing address

PO Box 372
Mattoon, IL 61938-0372

Other practice location 1

1000 Health Center Dr
Mattoon, IL 61938-4644
Phone (217) 258-4042

Other practice location 2

385 N Main St
West Lebanon, NH 03784-1009
Phone (217) 258-4042

Other practice location 3

159 Slayton Hill Rd
Lebanon, NH 03766-2509
Phone (603) 448-3761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051020000633 NH Practitioner - Psychiatry 0749206506 Reassigns benefits to 1 organization
I20180814002931 IL Practitioner - Psychiatry 0749206506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

1005 Health Ctr Dr
Suite 102
Mattoon, IL 61938-4637
Phone (217) 258-4042

385 N Main St
West Lebanon, NH 03784-1009
Phone (217) 258-4042

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as apm
Quality
69.5
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center CurrentSince Aug 20, 2023 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jul 1, 2018 Accepting new patients
West Central Services, Inc Past Accepting new patients
West Central Services, Inc. PastSince Jan 15, 1990 Accepting new patients
Sarah Bush Lincoln Health Center Psychiatry Past Accepting new patients

Locations

700 W Lincoln Ave
Ste 200
Charleston, IL 61920
Phone (217) 238-4866

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

1005 Health Center Dr
Ste 102
Mattoon, IL 61938
Phone 21734234002414

1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

Organizations & group practices 5

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1093881153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619380372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W LINCOLN AVE STE 200",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202468",
            "telephone_number": "217-238-4866",
            "fax_number": "217-258-4053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Health Center Dr",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384644",
            "country_code": "US",
            "telephone_number": "217-258-4042",
            "fax_number": "217-258-4053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "385 N Main St",
            "address_purpose": "LOCATION",
            "city": "West Lebanon",
            "state": "NH",
            "postal_code": "037841009",
            "country_code": "US",
            "telephone_number": "217-258-4042",
            "fax_number": "217-258-4053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "159 Slayton Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037662509",
            "country_code": "US",
            "telephone_number": "603-448-3761",
            "fax_number": "603-448-3761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONAGH",
        "first_name": "ANNMARIE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "8406",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-146788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, IL

Sources for this page

Verify at the official NPI Registry.