Active NPI
Ricki Loar, APN
- Family Nurse Practitioner
- O Fallon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209-001078
- Practice address
- 670 Pierce Blvd
O Fallon, IL 62269-2579 - Phone
- (618) 206-2094
- Fax
- (618) 607-5127
- NPI assigned
- Jul 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R0086728 | OK | |
| Gerontology Nurse Practitioner | 363LG0600X | 209001078 | IL | |
| Gerontology Nurse Practitioner | 363LG0600X | 209-001078 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209-001078 | IL | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | R0086728 | OK |
Addresses
Primary practice location
670 Pierce Blvd
O Fallon, IL 62269-2579
Mailing address
3553 W Peterson Ave
Suite 105
Chicago, IL 60659-3200
Phone (773) 267-3807
Other practice location 1
3553 W Peterson Ave
Suite 105
Chicago, IL 60659-3200
Phone (773) 267-3807
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rloar245629@ewd.direct.hshs.org | Direct |
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, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
670 Pierce Blvd
O Fallon, IL 62269-2579
Phone (618) 726-2133
Hospital & facility affiliations
- HSHS St Elizabeth'S Hospital
- St Josephs Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-001078 | IL | MD | Gerontology Nurse Practitioner |
| 209001078 | IL | MD | Gerontology Nurse Practitioner |
| R0086728 | OK | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HSHS Medical Group Inc | Current | Accepting new patients | |
| HSHS Medical Group Inc | Current | Accepting new patients | |
| HSHS Medical Group Inc | Current | Accepting new patients | |
| Southern Illinois Regional Wellness Center | Past | Accepting new patients | |
| Lakeside Medical Group LTD | Past | Accepting new patients | |
| Healing Hands Physicians, Inc. | Past | Accepting new patients | |
| HSHS Medical Group Inc | Past | Accepting new patients |
Locations
1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889
670 Pierce Blvd
O Fallon, IL 62269
Phone (618) 206-2070
1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100
3051 Hollis Dr
Fl 2
Springfield, IL 62704
Phone (217) 321-9321
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1962644807
-
- Rural Health Clinic/Center
- Dieterich, IL
- NPI 1033841192
-
- Internal Medicine Physician
- Springfield, IL
- NPI 1912330317
-
- Home Health Agency
- Park Ridge, IL
- NPI 1275842502
-
- Rural Health Clinic/Center
- Rushville, IL
- NPI 1487719480
-
- Adolescent Medicine (Internal Medicine) Physician
- Chicago, IL
- NPI 1790809804
-
- Federally Qualified Health Center (FQHC)
- East Saint Louis, IL
- NPI 1336258540
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- O Fallon, IL
- NPI 1629057302
-
- Rural Health Clinic/Center
- Breese, IL
- NPI 1013002658
Hospital
-
- General Acute Care Hospital
- Breese, IL
- NPI 1457319154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1194723312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3553 W PETERSON AVE",
"address_2": "SUITE 105",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606593200",
"telephone_number": "773-267-3807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 PIERCE BLVD",
"city": "O FALLON",
"state": "IL",
"postal_code": "622692579",
"telephone_number": "618-206-2094",
"fax_number": "618-607-5127"
}
],
"practiceLocations": [
{
"address_1": "3553 W Peterson Ave",
"address_2": "Suite 105",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606593200",
"country_code": "US",
"telephone_number": "773-267-3807",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOAR",
"first_name": "RICKI",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "R0086728",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IL",
"license": "209001078",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IL",
"license": "209-001078",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209-001078",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OK",
"license": "R0086728",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rloar245629@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "670 Pierce Blvd",
"city": "O Fallon",
"state": "IL",
"country_code": "US",
"postal_code": "622692579",
"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 Jan 12, 2023; 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.