NPIMap

Individual provider Active NPI

Carrie A Daigle, MD

  • Family Medicine Physician
  • Columbia, IL
National Provider Identifier
1477758571
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036125646 Issued in IL
Practice address
1019 Valmeyer Rd
Columbia, IL 62236-4123
Phone
(618) 205-7170
Fax
(618) 205-7171
NPI assigned
Jun 19, 2007
Last updated
Jul 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036125646 IL Primary

Addresses

Primary practice location

1019 Valmeyer Rd
Columbia, IL 62236-4123

Mailing address

1019 Valmeyer Rd
Columbia, IL 62236-4123
Phone (618) 205-7170

Other names 1

  • Carrie A Linnertz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101207000239 IL Practitioner - Family Practice 8022205871 Reassigns benefits to 1 organization
I20210107001558 MO Practitioner - Family Practice 8022205871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Illinois, LLCGroup PAC ID 5193150621, 6 clinicians

Practice addresses (Care Compare)

1019 Valmeyer Rd
Columbia, IL 62236-4123
Phone (618) 205-7170

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036125646ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Illinois, LLC CurrentSince Jul 5, 2021 Accepting new patients
Mercy Clinic Specialists Services-Illinois LLC CurrentSince Feb 14, 2022 Accepting new patients
Mercy Clinic East Communities Family Medicine CurrentSince Sep 22, 2020 Accepting new patients
Heartland Rural Healthcare, LLC Family Medicine PastSince Jan 1, 2018 Accepting new patients
Progressive Family Care LTD. Family Medicine Past Accepting new patients
Family Practice Associates, PC Family Medicine Past Accepting new patients

Locations

1019 Valmeyer Rd
Columbia, IL 62236
Phone (314) 543-5244

5194 Jeremiah Blvd
Hillsboro, MO 63050
Phone (636) 543-2328

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

Interoperability endpoints

  • Direct secure messaging: cdaigle1074061@directc.mercy.net
  • FHIR API: https://api.platform.athenahealth.com/1588/brand/1/csg/121/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1477758571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 VALMEYER RD",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622364123",
            "telephone_number": "618-205-7170",
            "fax_number": "618-205-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 VALMEYER RD",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622364123",
            "telephone_number": "618-205-7170",
            "fax_number": "618-205-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIGLE",
        "first_name": "CARRIE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036125646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "LINNERTZ",
            "middle_name": "A",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, IL

Sources for this page

Verify at the official NPI Registry.