Individual provider Active NPI

Sue Ann Gingerich, CRNA

  • Certified Registered Nurse Anesthetist
  • Quincy, IL
National Provider Identifier
1699779546
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D090526 Issued in IA
Practice address
1005 Broadway St
Quincy, IL 62301-2834
Phone
(217) 223-8400
Fax
(217) 223-9553
NPI assigned
Jun 9, 2005
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X D090526 IA Primary
Certified Registered Nurse Anesthetist 367500000X 209005003 IL

Addresses

Primary practice location

1005 Broadway St
Quincy, IL 62301-2834

Mailing address

17893 224TH St
Manchester, IA 52057-8629
Phone (563) 927-6183

Other practice location 1

17893 224th St
Manchester, IA 52057-8629
Phone (563) 927-6183

Other identifiers 3

IdentifierTypeStateIssuer
5542936MedicaidIA
2542936MedicaidIA
30980OtherIAWASHINGTON BC/BS IOWA

Other names 1

  • Sue Ann Roetun Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgingerich35347@blessing.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040701000765 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284611872 Reassigns benefits to 4 organizations
I20040715000356 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284611872 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Iowa, RJ & L Carver College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blessing HospitalGroup PAC ID 3072422534, 414 clinicians

Practice addresses (Care Compare)

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400

3301 Broadway St
Quincy, IL 62301-3713
Phone (217) 277-3500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
D090526IAMDCertified Registered Nurse Anesthetist
209005003ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
McDonough County Hospital District Current Accepting new patients
Broadlawns Medical Center CurrentSince Mar 23, 2013 Accepting new patients
Blessing Hospital CurrentSince Dec 1, 2015 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Jun 25, 2025 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Washington County Hospital CurrentSince Jul 25, 2002 Accepting new patients
McDonough County Hospital District CurrentSince May 23, 2016 Accepting new patients
Blessing Hospital CurrentSince Dec 1, 2015 Accepting new patients
Delaware County Memorial Hospital CurrentSince Mar 28, 2011 Accepting new patients
Washington County Hospital CurrentSince Jul 25, 2002 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Dec 13, 2021 Accepting new patients
McDonough County Hospital District Current Accepting new patients
Unity Healthcare CurrentSince Aug 20, 2008 Accepting new patients
Hammond Henry Dist Hospital CurrentSince Apr 7, 2016 Accepting new patients
Broadlawns Medical Center CurrentSince Mar 23, 2013 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC Current Accepting new patients
Unity Healthcare Current Accepting new patients
McDonough County Hospital District Current Accepting new patients
McDonough County Hospital District Current Accepting new patients
Delaware County Memorial Hospital CurrentSince Mar 28, 2011 Accepting new patients
Hammond Henry Dist Hospital CurrentSince Apr 7, 2016 Accepting new patients
McDonough County Hospital District Current Accepting new patients
Unity Healthcare CurrentSince Aug 20, 2008 Accepting new patients
McDonough County Hospital District Nurse Anesthetist, Certified Registered CurrentSince May 23, 2016 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Jun 25, 2025 Accepting new patients
Delaware County Memorial Hospital Current Accepting new patients
Diagnostic & Int Med Assoc PC Past Accepting new patients
Creighton University Past Accepting new patients
Anesthesia West, P.C. Past Accepting new patients
Trinity Medical Center Past Accepting new patients
Medical Anesthesia and Pain Management Consultants, P.a. Past Accepting new patients
Creighton University Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

2000 S Main St
Fairfield, IA 52556
Phone (641) 469-4204

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

709 W Main St
Manchester, IA 52057
Phone (563) 927-3232

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

300 W May St
Ste A
Marengo, IA 52301
Phone (319) 642-5543

1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110

502 N 9th Ave
Vinton, IA 52349
Phone (319) 472-6200

400 E Polk St
Washington, IA 52353
Phone (319) 653-5481

1731 W Ridgeway Ave
Ste 100
Waterloo, IA 50701
Phone (319) 833-5888

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431

525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611

2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222

1005 Broadway St
Quincy, IL 62301

1025 Maine St
Quincy, IL 62301
Phone 21722265503163

1415 Vermont St
Quincy, IL 62301
Phone (217) 223-5611

3301 Broadway St
Quincy, IL 62301
Phone (217) 277-4070

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460

6000 Hospital Dr
#1257
Hannibal, MO 63401
Phone (573) 248-5460

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9c9d3cdf-0f7f-4b63-979a-f711747b3e95/
  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod
  • Direct secure messaging: sgingerich158648@direct.unitypoint.org

Organizations & group practices 32

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.

View all 32

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1699779546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17893 224TH ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520578629",
            "telephone_number": "563-927-6183",
            "fax_number": "563-927-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012834",
            "telephone_number": "217-223-8400",
            "fax_number": "217-223-9553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17893 224th St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "IA",
            "postal_code": "520578629",
            "country_code": "US",
            "telephone_number": "563-927-6183",
            "fax_number": "563-927-6183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GINGERICH",
        "first_name": "SUE",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D090526",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209005003",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5542936",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2542936",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON BC/BS IOWA",
            "identifier": "30980",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgingerich35347@blessing.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1005 Broadway St",
            "city": "Quincy",
            "state": "IL",
            "country_code": "US",
            "postal_code": "623012834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "ROETUN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.