Individual provider Active NPI

Chadd Daniel Harkey

  • Family Nurse Practitioner
  • Bridgeton, MO
National Provider Identifier
1477383032
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209031333 Issued in IL
Practice address
3550 McKelvey Rd
Bridgeton, MO 63044-2527
Phone
(314) 741-0911
NPI assigned
Aug 7, 2024
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209031333 IL Primary
Family Nurse Practitioner 363LF0000X 2024030417 MO

Addresses

Primary practice location

3550 McKelvey Rd
Bridgeton, MO 63044-2527

Mailing address

4837 S State Route 159
Glen Carbon, IL 62034-1905
Phone (618) 581-8883

Other practice location 1

2001 State St
East Saint Louis, IL 62205-1803
Phone (618) 301-4505

Other practice location 2

2120 Madison Ave Ste 101
Granite City, IL 62040-4746
Phone (314) 741-0911

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE) St. Louis Heart & Vascular, P.C.
Direct Messaging Address chadd.harkey.1@9559.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241023001321 MO Practitioner - Nurse Practitioner 7911430467 Reassigns benefits to 1 organization
I20250116003647 IL Practitioner - Nurse Practitioner 7911430467 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians of Memphis LLCGroup PAC ID 5395643209, 92 clinicians
Anderson Medical Group LLCGroup PAC ID 5193792018, 136 clinicians

Practice addresses (Care Compare)

1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 463-7311

1103 Belt Line Rd
Collinsville, IL 62234-4368
Phone (618) 344-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209031333ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Emergency Centralia Campus Associates, Inc CurrentSince Feb 7, 2025 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC CurrentSince Oct 1, 2025 Accepting new patients
St. Louis Heart & Vascular, P.C. CurrentSince Oct 11, 2024 Accepting new patients
Southern Illinois Healthcare Foundation, Inc. CurrentSince Jul 21, 2025 Accepting new patients
Southern Illinois Healthcare Foundation Inc Current Accepting new patients
Midwest Emergency Good Samaritan, Inc CurrentSince Feb 7, 2025 Accepting new patients
Anderson Medical Group, LLC CurrentSince Mar 24, 2025 Accepting new patients
Midwest Emergency Anderson Health, Inc CurrentSince Feb 7, 2025 Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Jul 21, 2025 Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

159 E McArthur Dr
Bethalto, IL 62010
Phone (618) 258-7380

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

1103 Belt Line Rd
Collinsville, IL 62234
Phone (618) 344-2273

2001 State St
East St Louis, IL 62205
Phone (618) 271-0204

3417 Anderson Healthcare Dr
Edwardsville, IL 62025
Phone (618) 288-4929

2120 Madison Ave
Ste 101
Granite City, IL 62040
Phone (618) 798-3000

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

6810 State Route 162
Ste 215
Maryville, IL 62062
Phone (618) 391-6405

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

2041 Goose Lake Rd
Sauget, IL 62206

108 W US Highway 40
Troy, IL 62294
Phone (618) 391-5065

3550 McKelvey Rd
Bridgeton, MO 63044
Phone 31474109114048

11155 Dunn Rd
Ste 304E
Saint Louis, MO 63136
Phone 3147410911 ext. 4012

Interoperability endpoints

  • Direct secure messaging: chadd.harkey.1@9559.direct.athenahealth.com
  • Direct secure messaging: chadd.harkey.p5@direct.ahgcardiology.nextgenshare.com
  • Direct secure messaging: charkey507802@direct-ehr-ssmhc.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1477383032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4837 S STATE ROUTE 159",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341905",
            "telephone_number": "618-581-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 MCKELVEY RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442527",
            "telephone_number": "314-741-0911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 State St",
            "address_purpose": "LOCATION",
            "city": "East Saint Louis",
            "state": "IL",
            "postal_code": "622051803",
            "country_code": "US",
            "telephone_number": "618-301-4505",
            "fax_number": "618-301-4057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 Madison Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Granite City",
            "state": "IL",
            "postal_code": "620404746",
            "country_code": "US",
            "telephone_number": "314-741-0911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARKEY",
        "first_name": "CHADD",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-07",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209031333",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024030417",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "St. Louis Heart & Vascular, P.C.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2120 Madison Ave Ste 101",
            "city": "Granite City",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620404746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chadd.harkey.1@9559.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2001 State St",
            "city": "East Saint Louis",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622051803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

Verify at the official NPI Registry.