Individual provider Active NPI

Ruth E Rakey, APN

  • Women's Health Nurse Practitioner
  • Centralia, IL
National Provider Identifier
1669425526
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
041199606 Issued in IL
Practice address
1441 W Broadway
Centralia, IL 62801-5613
Phone
(618) 532-9050
Fax
(618) 436-6254
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 041199606 IL Primary

Addresses

Primary practice location

1441 W Broadway
Centralia, IL 62801-5613

Mailing address

1441 W Broadway
Centralia, IL 62801-5613
Phone (618) 532-9350

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other
Direct Messaging Address rrakey76640@direct-ehr-ssmhc.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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060810000144 IL Practitioner - Nurse Practitioner 0941203046 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Services Corporation of Southern Illinois Inc. CurrentSince Mar 30, 2024 Accepting new patients
Irvington Township Rural Health Clinic LLC Past Accepting new patients
Jerry L. Beguelin, MD, PC Past Accepting new patients
James L Schutzenhofer MD LLC Past Accepting new patients

Locations

1054 Martin Luther King Dr
Ste 220
Centralia, IL 62801
Phone (618) 436-5982

1441 W Broadway
Centralia, IL 62801
Phone (618) 532-0810

205 Huron St
Irvington, IL 62848
Phone (618) 249-6203

1702 Broadway St
Mount Vernon, IL 62864
Phone (618) 241-1747

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

Interoperability endpoints

  • Direct secure messaging: rrakey76640@direct-ehr-ssmhc.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1669425526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 W BROADWAY",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628015613",
            "telephone_number": "618-532-9350",
            "fax_number": "618-436-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 W BROADWAY",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628015613",
            "telephone_number": "618-532-9050",
            "fax_number": "618-436-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKEY",
        "first_name": "RUTH",
        "middle_name": "E",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "041199606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1441 W Broadway",
            "city": "Centralia",
            "state": "IL",
            "country_code": "US",
            "postal_code": "628015613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rrakey76640@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rrakey76640@direct-ehr-ssmhc.com",
            "address_1": "1441 W Broadway",
            "city": "Centralia",
            "state": "IL",
            "country_code": "US",
            "postal_code": "628015613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centralia, IL

Sources for this page

Verify at the official NPI Registry.