Active NPI
Sonya McKinney, APRN
- Nurse Practitioner
- Mount Vernon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.013632
- Practice address
- 209 Crossroads PL
Mount Vernon, IL 62864-6545 - Phone
- (618) 244-6222
- Fax
- (618) 244-7299
- NPI assigned
- Dec 2, 2015
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.013632 | IL | Primary |
| Family Nurse Practitioner | 363LF0000X | 209013632 | IL |
Addresses
Primary practice location
209 Crossroads PL
Mount Vernon, IL 62864-6545
Mailing address
209 Crossroads PL
Mount Vernon, IL 62864-6545
Phone (618) 244-6222
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4101 N Water Tower PL
Mount Vernon, IL 62864-6296
Phone (618) 244-4313
Hospital & facility affiliations
- Mederi Caretenders
- LHC-Illinois Home Health Care
- SSM Health at Home Health-Illinois
- Deaconess Illinois Crossroads
- Good Samaritan Regional HLTH Center
- SSM Health St Mary'S Hospital -Centralia
- Heartland Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.013632 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Illinois Crossroads Inc | Current | Accepting new patients | |
| Deaconess Illinois Crossroads Inc | Current | Accepting new patients |
Locations
4101 N Water Tower Pl
Mount Vernon, IL 62864
Phone (618) 244-4313
209 Crossroads Pl
Ste 120
Mount Vernon, IL 62864
Phone (618) 242-3119
209 Crossroads Pl
Mount Vernon, IL 62864
Phone (618) 242-4554
Interoperability endpoints
- smckinney423038@direct.deaconess.com
- sonya.mckinney.1@27782.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Rural Health Clinic/Center
- Wayne City, IL
- NPI 1528785284
-
- Rural Health Clinic/Center
- Mount Vernon, IL
- NPI 1316663602
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Mount Vernon, IL
- NPI 1437138070
-
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1124745807
-
- General Acute Care Hospital
- Marion, IL
- NPI 1750007266
-
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
-
- Home Health Agency
- Marion, IL
- NPI 1740527407
-
- Home Health Agency
- Mount Vernon, IL
- NPI 1295798403
-
- General Acute Care Hospital
- Centralia, IL
- NPI 1083617245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1407221484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 CROSSROADS PL",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628646545",
"telephone_number": "618-244-6222",
"fax_number": "618-244-7299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 CROSSROADS PL",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628646545",
"telephone_number": "618-244-6222",
"fax_number": "618-244-7299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "SONYA",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-02",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.013632",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209013632",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Dec 29, 2022; 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.