Individual provider Active NPI

Ginger Darty, FNP-BC

  • Family Nurse Practitioner
  • Cahokia, IL
National Provider Identifier
1609424035
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277001254 Issued in IL
Practice address
701 Saint Nicholas Dr
Cahokia, IL 62206-1837
Phone
(618) 746-1133
NPI assigned
Aug 28, 2019
Last updated
May 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 277001254 IL Primary

Addresses

Primary practice location

701 Saint Nicholas Dr
Cahokia, IL 62206-1837

Mailing address

701 Saint Nicholas Dr
Cahokia Heights, IL 62206-1837
Phone (618) 792-5970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

28 Bronze Pointe N
Suite a 2
Swansea, IL 62226-1191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277001254ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Care Clinic Family CurrentSince May 1, 2023 Accepting new patients

Locations

28 Bronze Pointe N
Ste A-2
Swansea, IL 62226

Organizations & group practices 1

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": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1609424035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SAINT NICHOLAS DR",
            "city": "CAHOKIA HEIGHTS",
            "state": "IL",
            "postal_code": "622061837",
            "telephone_number": "618-792-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SAINT NICHOLAS DR",
            "city": "CAHOKIA",
            "state": "IL",
            "postal_code": "622061837",
            "telephone_number": "618-746-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARTY",
        "first_name": "GINGER",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277001254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cahokia, IL

Sources for this page

Verify at the official NPI Registry.