Sherry Charlette Locey, PA-C
Individual provider Active NPI Physician Assistant · Wayne City, IL
NPI 1265446199 · NPPES record last updated Jan 24, 2025
Key facts
- NPI
- 1265446199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0085001020 (IL)
- Practice address
- 1209 West Robinson
Wayne City, IL 62895 - Phone
- (618) 895-2050
- Fax
- (618) 895-2056
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deaconess Illinois Crossroads Inc
Practice addresses (Care Compare)
1209 W Robinson St
Wayne City, IL 62895-9672
Phone (618) 895-2050
Hospital & facility affiliations
- LHC-Illinois Home Health Care
- SSM Health at Home Health-Illinois
- Deaconess Illinois Crossroads
- Good Samaritan Regional HLTH Center
- Fairfield Memorial Hospital 1
- Hamilton Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070326000502 | IL | Practitioner - Physician Assistant | 0143324434 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0085001020 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Illinois Crossroads Inc | Current |
Accepting new patients | |
| Deaconess Illinois Crossroads Inc | Current |
Accepting new patients |
Locations
209 Crossroads Pl
Ste 150
Mount Vernon, IL 62864
Phone (618) 244-6222
Interoperability endpoints
- slocey@yourcarecommunity.org
- slocey422999@direct.deaconess.com
- sherry.locey.1@27782.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0085001020 | IL | Yes |
| Medical Physician Assistant | 363AM0700X | 0085001020 | IL |
Addresses
Primary practice location
1209 West Robinson
Wayne City, IL 62895
Mailing address
1209 West Robinson
Wayne City, IL 62895
Phone (618) 895-2050
Other providers in Wayne City, IL
- Bandys Apothecary Shops Inc
- Tiffany Blasdel
- Crossroads Physician Corp
- Deaconess Illinois Crossroads Inc
- Lisa K Feather
- Kassi Dawn McCormick
- National Healthcare of Mt Vernon Inc
- National Healthcare of Mt Vernon Inc
- Village of Wayne City
- Wayne City Community School District 100
All providers in Wayne City, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.