Active NPI
Derek Pechacek, FNP-C
- Family Nurse Practitioner
- O Fallon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209-010889
- Practice address
- 320 E Highway 50
O Fallon, IL 62269-2704 - Phone
- (618) 624-3368
- Fax
- (618) 624-3387
- NPI assigned
- Nov 5, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209-010889 | IL | Primary |
Addresses
Primary practice location
320 E Highway 50
O Fallon, IL 62269-2704
Mailing address
2804 Lakeside Dr
Columbia, IL 62236-2681
Other practice location 1
1300 N Market St
Sparta, IL 62286-1048
Phone (618) 443-4138
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nch@spartahospital.hin.us |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (618) 242-4600
6800 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-5711
705 S Grand
Nashville, IL 62263-1534
705 S Grand St
Nashville, IL 62263-1534
Phone (618) 327-8236
Hospital & facility affiliations
- Washington County Hospital
- Washington County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-010889 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Medical Group, LLC | Current | Accepting new patients | |
| Sparta Community Hospital D/B/a Quality Healthcare Clinics | Current | Accepting new patients | |
| Sparta Community Hospital D/B/a Quality Healthcare Clinics | Past | Accepting new patients | |
| Sparta Community Hospital D/B/a Quality Healthcare Clinics | Past | Accepting new patients |
Locations
211 S 3rd St
Belleville, IL 62220
Phone (618) 234-2700
159 E McArthur Dr
Bethalto, IL 62010
Phone (618) 258-7380
1103 Belt Line Rd
Collinsville, IL 62234
Phone (618) 344-2273
3417 Anderson Healthcare Dr
Edwardsville, IL 62025
Phone (618) 288-4929
2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000
6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095
6810 State Route 162
Ste 215
Maryville, IL 62062
Phone (618) 391-6405
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
1300 N Market St
Sparta, IL 62286
Phone (618) 443-4138
207 S Burns Ave
Sparta, IL 62286
Phone (618) 443-3084
400 N Caldwell St
Staunton, IL 62088
Phone (618) 635-2200
108 W US Highway 40
Troy, IL 62294
Phone (618) 391-5065
Interoperability endpoints
- nch@spartahospital.hin.us
- dpechacek236185@direct-ehr-ssmhc.com
- pechaced@yourcarecommunity.org
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Staunton, IL
- NPI 1710647615
-
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1629367578
-
- Critical Access Hospital
- Nashville, IL
- NPI 1659321560
-
- General Practice Physician
- Maryville, IL
- NPI 1700807716
-
- Multi-Specialty Clinic/Center
- Sparta, IL
- NPI 1114984226
-
- Emergency Medicine Physician
- Centralia, IL
- NPI 1396034245
-
- Emergency Medicine Physician
- Maryville, IL
- NPI 1821758608
-
- Emergency Medicine Physician
- Cahokia Heights, IL
- NPI 1922019926
-
- Rural Health Clinic/Center
- Steeleville, IL
- NPI 1669588000
-
- Rural Health Clinic/Center
- Sparta, IL
- NPI 1740395045
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Nashville, IL
- NPI 1316555816
Hospital
-
- Critical Access Hospital
- Nashville, IL
- NPI 1477504322
Nursing home
-
- Critical Access Hospital
- Nashville, IL
- NPI 1659321560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1114356607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2804 LAKESIDE DR",
"city": "COLUMBIA",
"state": "IL",
"postal_code": "622362681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 E HIGHWAY 50",
"city": "O FALLON",
"state": "IL",
"postal_code": "622692704",
"telephone_number": "618-624-3368",
"fax_number": "618-624-3387"
}
],
"practiceLocations": [
{
"address_1": "1300 N Market St",
"address_purpose": "LOCATION",
"city": "Sparta",
"state": "IL",
"postal_code": "622861048",
"country_code": "US",
"telephone_number": "618-443-4138",
"fax_number": "618-443-3685",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PECHACEK",
"first_name": "DEREK",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-05",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209-010889",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nch@spartahospital.hin.us",
"affiliation": "N",
"address_1": "1300 N Market St",
"city": "Sparta",
"state": "IL",
"country_code": "US",
"postal_code": "622861048",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in O Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.