Individual provider Active NPI

Sydnee Jean Hogue, APN, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Moline, IL
National Provider Identifier
1548779291
Registry record updated Sep 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209016419 Issued in IL
Practice address
4600 3Rd St
Moline, IL 61265-6106
Phone
(309) 779-2031
NPI assigned
Sep 26, 2017
Last updated
Sep 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209016419 IL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G148477 IA

Addresses

Primary practice location

4600 3Rd St
Moline, IL 61265-6106

Mailing address

4906 51St Ave
Moline, IL 61265-7556
Phone (563) 249-6205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, 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
I20171113001313 IA Practitioner - Nurse Practitioner 7517223258 Reassigns benefits to 3 organizations
I20171204000556 IL Practitioner - Nurse Practitioner 7517223258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Robert Young Center for Community Mental HealthGroup PAC ID 4587600150, shared by 3 NPIs, 54 clinicians

Practice addresses (Care Compare)

2560 24TH St
Suite 101
Rock Island, IL 61201-5389
Phone (309) 779-3970

4622 Progress Dr
Suite a
Davenport, IA 52807-3426
Phone (563) 742-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SBH-Davenport, LLC CurrentSince Jun 1, 2024 Accepting new patients
Trinity Medical Center CurrentSince Nov 1, 2017 Accepting new patients
The Robert Young Center for Community Mental Health CurrentSince Oct 30, 2021 Accepting new patients
The Robert Young Center for Community Mental Health CurrentSince Dec 31, 2021 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Trinity Medical Center CurrentSince Nov 1, 2017 Accepting new patients
The Robert Young Center for Community Mental Health Current Accepting new patients
SBH-Davenport, LLC CurrentSince Jun 1, 2024 Accepting new patients
The Robert Young Center for Community Mental Health CurrentSince Oct 30, 2021 Accepting new patients

Locations

770 Tanglefoot Ln
Bettendorf, IA 52722
Phone (563) 241-7443

4311 E 53rd St
Davenport, IA 52807
Phone (563) 441-5860

4622 Progress Dr
Ste A
Davenport, IA 52807
Phone (563) 742-5800

500 W River Dr
Davenport, IA 52801

708 15th Ave
East Moline, IL 61244
Phone (309) 751-4023

1106 4th Ave
Moline, IL 61265
Phone (309) 623-4817

4600 3rd St
Moline, IL 61265
Phone (309) 779-3000

2200 3rd Ave
Rock Island, IL 61201
Phone (309) 779-2094

2560 24th St
Ste 101
Rock Island, IL 61201
Phone (309) 779-3970

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

2750 11th St
Rock Island, IL 61201
Phone (563) 327-2000

Interoperability endpoints

  • Direct secure messaging: shogue87996@direct.unitypoint.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506384000000",
    "number": "1548779291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 51ST AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657556",
            "telephone_number": "563-249-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 3RD ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656106",
            "telephone_number": "309-779-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGUE",
        "first_name": "SYDNEE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "APN, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209016419",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G148477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.