Individual provider Active NPI

Nicholas J Sutton, NP

  • Nurse Practitioner
  • Columbia, IL
National Provider Identifier
1699148726
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277000374 Issued in IL
Practice address
1000 Eleven S Ste 4a
Columbia, IL 62236-1077
Phone
(618) 206-6120
NPI assigned
Nov 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2017009020 MO
Nurse Practitioner 363L00000X 277000374 IL Primary

Addresses

Primary practice location

1000 Eleven S Ste 4a
Columbia, IL 62236-1077

Mailing address

PO Box 955534
Saint Louis, MO 63195-5534

Other practice location 1

50 Northgate Industrial Dr
Granite City, IL 62040-6805
Phone (618) 877-4420

Other practice location 2

1181 S State Route 157
Suite 201
Edwardsville, IL 62025-3776
Phone (618) 288-8850

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nsutton534923@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 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
I20160105000565 IL Practitioner - Nurse Practitioner 2769784024 Reassigns benefits to 2 organizations
I20170508002465 MO Practitioner - Nurse Practitioner 2769784024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Medical Group IncGroup PAC ID 6608776299, 565 clinicians

Practice addresses (Care Compare)

1000 Eleven S
Suite 4a
Columbia, IL 62236-1077
Phone (618) 206-6120

9759 Manchester Rd
Saint Louis, MO 63119-1346
Phone (314) 781-4922

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277000374ILMDNurse Practitioner
2017009020MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Health Systems Inc. CurrentSince Oct 17, 2024 Accepting new patients
SSM Medical Group Inc. CurrentSince Mar 10, 2025 Accepting new patients
SSM Medical Group, Inc. CurrentSince Mar 10, 2025 Accepting new patients
Chestnut Health Systems Inc CurrentSince Oct 17, 2024 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
Dr. David B. Yablonsky, D.O., P.C. PastSince Nov 9, 2015 Accepting new patients

Locations

1003 Martin Luther King Dr
Bloomington, IL 61701
Phone (309) 827-6026

1000 Eleven S
Ste 4A
Columbia, IL 62236
Phone (618) 206-6120

50 Northgate Industrial Dr
Granite City, IL 62040
Phone (618) 512-1919

2148 Vadalabene Dr
Maryville, IL 62062
Phone (618) 288-3100

705 S Grand St
Nashville, IL 62263
Phone (618) 327-2200

3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100

9759 Manchester Rd
Saint Louis, MO 63119
Phone (314) 781-4922

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

Interoperability endpoints

  • Direct secure messaging: nsutton534923@direct-ehr-ssmhc.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1699148726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955534",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631955534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ELEVEN S STE 4A",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361077",
            "telephone_number": "618-206-6120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Northgate Industrial Dr",
            "address_purpose": "LOCATION",
            "city": "Granite City",
            "state": "IL",
            "postal_code": "620406805",
            "country_code": "US",
            "telephone_number": "618-877-4420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1181 S State Route 157",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "IL",
            "postal_code": "620253776",
            "country_code": "US",
            "telephone_number": "618-288-8850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-11",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2017009020",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277000374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nsutton534923@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "nsutton534923@direct-ehr-ssmhc.com",
            "address_1": "1000 Eleven S Ste 4A",
            "city": "Columbia",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622361077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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": "1000 Eleven S Ste 4A",
            "city": "Columbia",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622361077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, IL

Sources for this page

Verify at the official NPI Registry.