Active NPI
Sharron Gingrich, NP
- Nurse Practitioner
- Mount Vernon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209008873
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2167 | AZ | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry County Health Center, Inc. | Current | Accepting new patients | |
| 24 On Physicians, P.C. | Current | Accepting new patients | |
| Henry County Health Center Inc | Current | Accepting new patients | |
| Physician Services Corporation of Southern Illinois Inc. | Current | Accepting new patients | |
| 24 On Physicians, PC | Current | Accepting new patients | |
| Southeast Iowa Regional Medical Center, Inc. | Current | 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.
-
- General Practice Physician
- West Burlington, IA
- NPI 1164433884
-
- Hospitalist Physician
- Ottawa, IL
- NPI 1346480431
-
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1831101807
-
- General Practice Physician
- Mount Pleasant, IA
- NPI 1871177477
-
- Critical Access Hospital
- Mount Pleasant, IA
- NPI 1811571417
-
- Hospitalist Physician
- Attleboro, MA
- NPI 1790104511
-
- Medicare Defined Swing Bed Hospital Unit
- Mount Pleasant, IA
- NPI 1346824943
-
- Home Health Agency
- West Burlington, IA
- NPI 1760461644
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Mount Pleasant, IA
- NPI 1811571417
-
- General Acute Care Hospital
- West Burlington, IA
- NPI 1134168263
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.