Individual provider Active NPI

Sharron Gingrich, NP

  • Nurse Practitioner
  • Mount Vernon, IL
National Provider Identifier
1205821923
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209008873 Issued in IL
Practice address
2 Good Samaritan Way Ste 405
Mount Vernon, IL 62864-2478
Phone
(618) 899-4000
NPI assigned
Sep 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209008873 IL Primary

Addresses

Primary practice location

2 Good Samaritan Way Ste 405
Mount Vernon, IL 62864-2478

Mailing address

1660 Feehanville Dr Ste 200
Mount Prospect, IL 60056-6036
Phone (847) 823-3185

Other practice location 1

136 Biesterfield Rd
Elk Grove Village, IL 60007-3657
Phone (847) 823-3185

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sharrongingrich@uropart.allscriptsdirect.net
Direct Messaging Address sgingrich342805@direct-ehr-ssmhc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110705000194 IL Practitioner - Nurse Practitioner 6800824509 Reassigns benefits to 2 organizations
I20241204001443 IA Practitioner - Nurse Practitioner 6800824509 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1221 S Gear Ave
West Burlignton, IA 52655-1679
Phone (319) 768-1000

1223 S Gear Ave
Suite 303
West Burlington, IA 52655-1670
Phone (319) 768-3925

5409 Ave O
Fort Madison, IA 52627-9601

5409 Ave O
Fort Madison, IA 52627-9602

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2167AZMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Health Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
24 On Physicians, P.C. CurrentSince Aug 15, 2015 Accepting new patients
Henry County Health Center Inc CurrentSince Dec 1, 2024 Accepting new patients
Physician Services Corporation of Southern Illinois Inc. CurrentSince Dec 6, 2019 Accepting new patients
24 On Physicians, PC CurrentSince Aug 15, 2015 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Henry County Health Center, Inc. Past Accepting new patients
Southeast Iowa Regional Medical Center, Inc. Past Accepting new patients

Locations

5409 Avenue O
#101
Fort Madison, IA 52627

5409 Avenue O
Ste 101
Fort Madison, IA 52627
Phone (319) 372-6530

407 S White St
Ste 21
Mount Pleasant, IA 52641
Phone (319) 385-5374

407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110

1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622

1223 S Gear Ave
Ste 303
West Burlington, IA 52655
Phone (319) 768-3925

2 Good Samaritan Way
Ste 400
Mount Vernon, IL 62864
Phone (618) 899-3640

2 Good Samaritan Way
Ste 405
Mount Vernon, IL 62864
Phone (618) 899-4000

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

3221 McKelvey Rd
Ste 301
Bridgeton, MO 63044

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1205821923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 200",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566036",
            "telephone_number": "847-823-3185",
            "fax_number": "847-823-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GOOD SAMARITAN WAY STE 405",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642478",
            "telephone_number": "618-899-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 Biesterfield Rd",
            "address_purpose": "LOCATION",
            "city": "Elk Grove Village",
            "state": "IL",
            "postal_code": "600073657",
            "country_code": "US",
            "telephone_number": "847-823-3185",
            "fax_number": "847-823-3318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GINGRICH",
        "first_name": "SHARRON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209008873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sharrongingrich@uropart.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "136 Biesterfield Rd",
            "city": "Elk Grove Village",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600073657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgingrich342805@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "sgingrich342805@direct-ehr-ssmhc.com",
            "address_1": "2 Good Samaritan Way Ste 405",
            "city": "Mount Vernon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "628642478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Vernon, IL

Sources for this page

Verify at the official NPI Registry.