Active NPI
Ruth E Rakey, APN
- Women's Health Nurse Practitioner
- Centralia, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 041199606
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Services Corporation of Southern Illinois Inc. | Current | 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
- 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.
-
dba SSM Health Medical Group
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1831101807
-
- Rural Health Clinic/Center
- Hoyleton, IL
- NPI 1295940062
-
- Internal Medicine Physician
- Centralia, IL
- NPI 1861423659
-
dba Irvington Friendly Care, PC
- Primary Care Clinic/Center
- Irvington, IL
- NPI 1922145002
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.