Ellen M Chapman Pogue, NP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

209004233 Issued in IL

Practice address

20 N Washington St
Suite 2
Du Quoin, IL 62832-1403

Phone

(618) 542-2129

Fax

(618) 542-2903

NPI assigned

Mar 16, 2006

Sex

Female

Sole proprietor

No

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.

• Pinckneyville Community Hospital

  • Critical Access Hospital
  • Pinckneyville, IL
  • NPI 1689646523

  IL

  Medicare reassignment NPD
• Craig W Furry, MD

  • Emergency Medicine Physician
  • Du Quoin, IL
  • NPI 1609864750

  IL

  Medicare reassignment
• Pinckneyville Community Hospital

  • Rural Health Clinic/Center
  • Pinckneyville, IL
  • NPI 1306818844
  NPD
• Craig W. Furry

  • Rural Health Clinic/Center
  • Du Quoin, IL
  • NPI 1225223829
  NPD (past)
• Craig W. Furry

  • Primary Care Clinic/Center
  • Marion, IL
  • NPI 1962689240
  NPD (past)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: echapman@directaddress.net

• Ellen M Chapman Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 2, 2009.

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1114996642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 US ROUTE 51",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "628324211",
            "telephone_number": "618-542-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N WASHINGTON ST",
            "address_2": "SUITE 2",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "628321403",
            "telephone_number": "618-542-2129",
            "fax_number": "618-542-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN POGUE",
        "first_name": "ELLEN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209004233",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "209004233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "CHAPMAN",
            "middle_name": "M",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Jane Bozarth, LCSW
• Natalie Brand, MHP
• Shakeela Brown
• Suzanne Burge, MD
• Mitchelle Calderon, PT
• Sydnie Chard, PHARMD
• Christopher Greater Area Rural Health Planning Corporation
• Christopher Greater Area Rural Health Planning Corporation
• Macie M Clark, LPN
• Lexandra Cobin

• All providers in Du Quoin, IL
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.