Active NPI
Heather N Sanders, P.A.
- Physician Assistant
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.005285
- Practice address
- 4500 Memorial Dr
Belleville, IL 62226-5360 - Phone
- (618) 233-7750
- NPI assigned
- Sep 24, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.005285 | IL | Primary |
| Physician Assistant | 363A00000X | PA23259 | CA |
Addresses
Primary practice location
4500 Memorial Dr
Belleville, IL 62226-5360
Mailing address
1417 Princeton Dr
O Fallon, IL 62269-2717
Phone (618) 660-9722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL
- 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
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1512 N Green Mount Rd
O Fallon, IL 62269-2083
Phone (618) 624-3750
801 W Temple Ave
Effingham, IL 62401-2168
Phone (217) 347-1690
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.41 of 100
- Quality
- 86.81
- Improvement activities
- 40
- Cost
- 77.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA23259 | CA | MD | Physician Assistant |
| 085.005285 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Vituity - Illinois Auc LLP | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
801 W Temple Ave
Effingham, IL 62401
Phone (217) 342-5800
1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437
12866 Troxler Ave
Highland, IL 62249
Phone (618) 651-2600
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Effingham, IL
- NPI 1306334198
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1518415751
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
- Emergency Medicine Physician
- O'Fallon, IL
- NPI 1487142022
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434585600000",
"number": "1285060061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 PRINCETON DR",
"city": "O FALLON",
"state": "IL",
"postal_code": "622692717",
"telephone_number": "618-660-9722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 MEMORIAL DR",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265360",
"telephone_number": "618-233-7750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "HEATHER",
"middle_name": "N",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-24",
"last_updated": "2015-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.005285",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA23259",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.