Individual provider Active NPI

Sarah E Pringle, CNP

  • Advanced Practice Midwife
  • Belleville, IL
National Provider Identifier
1285879882
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209018609 Issued in IL
Practice address
4600 Memorial Dr
Ste. 400
Belleville, IL 62226-5368
Phone
(618) 234-2390
Fax
(618) 234-9936
NPI assigned
Dec 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209018609 IL Primary

Addresses

Primary practice location

4600 Memorial Dr
Ste. 400
Belleville, IL 62226-5368

Mailing address

4600 Memorial Dr
Ste. 400
Belleville, IL 62226-5368
Phone (618) 234-2390

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190320001482 IL Practitioner - Certified Nurse Midwife (CNM) 2860679859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryville Womens Center PCGroup PAC ID 1557624400, 2 clinicians

Practice addresses (Care Compare)

2016 Vadalabene Dr
Suite B
Maryville, IL 62062-6901
Phone 6182882970125

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maryville Womens Center PC CurrentSince Jan 14, 2019 Accepting new patients

Locations

2016 Vadalabene Dr
Maryville, IL 62062
Phone (618) 288-2970

2016 Vadalabene Dr
Ste B
Maryville, IL 62062
Phone (618) 288-2970

Interoperability endpoints

  • Direct secure messaging: sarah.pringle.1@20824.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20824/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1285879882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MEMORIAL DR",
            "address_2": "STE. 400",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265368",
            "telephone_number": "618-234-2390",
            "fax_number": "618-234-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MEMORIAL DR",
            "address_2": "STE. 400",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265368",
            "telephone_number": "618-234-2390",
            "fax_number": "618-234-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINGLE",
        "first_name": "SARAH",
        "middle_name": "E",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-10",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209018609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.