Active NPI
Deidre Langston, APN
- Nurse Practitioner
- Vandalia, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209011383
- Practice address
- 650 W Taylor St
Vandalia, IL 62471-1227 - Phone
- (618) 283-5444
- Fax
- (618) 283-1617
- NPI assigned
- Apr 18, 2014
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209011383 | IL | Primary |
Addresses
Primary practice location
650 W Taylor St
Vandalia, IL 62471-1227
Mailing address
650 W Taylor St
Vandalia, IL 62471-1227
Phone (618) 283-5444
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
650 W Taylor St
Vandalia, IL 62471-1227
Phone (618) 283-5444
Hospital & facility affiliations
- HSHS Home Care Illinois
- Fayette County Health Dept
- Fayette County Hospital
- St Anthonys Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 69.5
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209011383 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Past | Accepting new patients |
Locations
1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194
650 W Taylor St
Fl 2
Vandalia, IL 62471
Phone (217) 342-3400
660 W Taylor St
Ste 101
Vandalia, IL 62471
Phone (618) 283-1231
650 W Taylor St
Vandalia, IL 62471
Phone (618) 283-1231
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/sarahbu-e05e23b8
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.
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
- Critical Access Hospital
- Vandalia, IL
- NPI 1912988734
-
- Rural Health Clinic/Center
- Vandalia, IL
- NPI 1568500510
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Vandalia, IL
- NPI 1174523914
-
- Critical Access Hospital
- Vandalia, IL
- NPI 1912988734
-
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
-
- Clinic/Center
- Effingham, IL
- NPI 1881214104
Hospital
-
- Home Health Agency
- Effingham, IL
- NPI 1891758678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1710307681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 W TAYLOR ST",
"city": "VANDALIA",
"state": "IL",
"postal_code": "624711227",
"telephone_number": "618-283-5444",
"fax_number": "618-283-1617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 W TAYLOR ST",
"city": "VANDALIA",
"state": "IL",
"postal_code": "624711227",
"telephone_number": "618-283-5444",
"fax_number": "618-283-1617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGSTON",
"first_name": "DEIDRE",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-18",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209011383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vandalia, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.
- 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.