Active NPI
Anne Nicole Nash, M.D.
- Family Medicine Physician
- O Fallon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36116476
- Practice address
- 3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269-1099 - Phone
- (618) 233-5480
- Fax
- (618) 222-4790
- NPI assigned
- Nov 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36116476 | IL | Primary |
Addresses
Primary practice location
3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269-1099
Mailing address
180 S 3Rd St Ste 104
Belleville, IL 62220-1952
Phone (618) 233-5480
Other practice location 1
180 S 3rd St Ste 104
Belleville, IL 62220-1952
Phone (618) 222-4701
Other names 1
- Anne Webster
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | anne.nash.1@9559.direct.athenahealth.com | Direct | |
| Direct Messaging Address | anne.nash.1@9559.direct.athenahealth.com | Direct |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Saint Louis University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
180 S 3Rd St
Suite 104
Belleville, IL 62220-1952
Phone (618) 233-5480
Hospital & facility affiliations
- HSHS Home Care Illinois
- HSHS St Elizabeth'S Hospital
- Touchette Regional Hospital Inc
- Memorial Hospital
- Alton Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36116476 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Illinois Healthcare Foundation Inc | Family Medicine | Current | Accepting new patients |
| Southern Illinois Healthcare Foundation Inc | Current | Accepting new patients | |
| Southern Illinois Healthcare Foundation, Inc. | Family Medicine | Current | Accepting new patients |
Locations
180 S 3rd St
Ste 104
Belleville, IL 62220
Phone (618) 222-4701
180 S 3rd St
Ste 300
Belleville, IL 62220
Phone (618) 213-7933
6000 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-2740
2001 State St
East St Louis, IL 62205
Phone (618) 271-0204
3 Saint Elizabeth Blvd
Ste 4000
O Fallon, IL 62269
Phone (618) 233-5480
2041 Goose Lake Rd
Sauget, IL 62206
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Centreville, IL
- NPI 1609813500
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Waterloo, IL
- NPI 1821813247
-
- Federally Qualified Health Center (FQHC)
- East Alton, IL
- NPI 1487719860
Family Medicine
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alton, IL
- NPI 1548278476
-
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
-
- Home Health Agency
- Effingham, IL
- NPI 1891758678
-
- General Acute Care Hospital
- O Fallon, IL
- NPI 1629057302
-
- Psychiatric Hospital Unit
- Cahokia Heights, IL
- NPI 1750992459
-
- Emergency Medicine Physician
- Cahokia Heights, IL
- NPI 1922019926
Hospital
-
- General Acute Care Hospital
- Cahokia Heights, IL
- NPI 1427111046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1558440776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 S 3RD ST STE 104",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622201952",
"telephone_number": "618-233-5480",
"fax_number": "618-222-4790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 SAINT ELIZABETH BLVD STE 4000",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691099",
"telephone_number": "618-233-5480",
"fax_number": "618-222-4790"
}
],
"practiceLocations": [
{
"address_1": "180 S 3rd St Ste 104",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "IL",
"postal_code": "622201952",
"country_code": "US",
"telephone_number": "618-222-4701",
"fax_number": "618-222-4754",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NASH",
"first_name": "ANNE",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "36116476",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "anne.nash.1@9559.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "3 Saint Elizabeth Blvd Ste 4000",
"city": "O Fallon",
"state": "IL",
"country_code": "US",
"postal_code": "622691099",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "anne.nash.1@9559.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "180 S 3rd St Ste 104",
"city": "Belleville",
"state": "IL",
"country_code": "US",
"postal_code": "622201952",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANNE",
"last_name": "WEBSTER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in O Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.