Individual provider Active NPI

Sabrina Lynn Stevens, FNP-C

  • Nurse Practitioner
  • Johnston City, IL
National Provider Identifier
1770050403
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71008890A Issued in IN
Practice address
17410 Harris School Rd
Johnston City, IL 62951-2421
Phone
(618) 889-3817
NPI assigned
Oct 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0 IL
Nurse Practitioner 363L00000X 71008890A IN Primary

Addresses

Primary practice location

17410 Harris School Rd
Johnston City, IL 62951-2421

Mailing address

17410 Harris School Rd
Johnston City, IL 62951-2421
Phone (618) 889-3817

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sstevens@direct.pvillehosp.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, KY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20211013001819 IL Practitioner - Nurse Practitioner 4183022627 Reassigns benefits to 3 organizations
I20220513001449 IN Practitioner - Nurse Practitioner 4183022627 Reassigns benefits to 1 organization
I20221121003278 KY Practitioner - Nurse Practitioner 4183022627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, shared by 10 NPIs, 411 clinicians
Pinckneyville Community HospitalGroup PAC ID 8123921632, shared by 3 NPIs, 26 clinicians
Deaconess Illinois Specialty Clinic, Inc.Group PAC ID 9830562016, 145 clinicians

Practice addresses (Care Compare)

2242 US Hwy 41 N
Henderson, KY 42420-2375
Phone (270) 844-8515

5383 State Route 154
Pinckneyville, IL 62274-3342
Phone 61835721875902

545 S Boehne Camp Rd
Evansville, IN 47712-3703
Phone (812) 429-1818

909 W Main St
West Frankfort, IL 62896-2209
Phone (618) 372-6040

Hospital & facility affiliations

  • Heartland Regional Medical Center Hospital, Marion, IL, CCN 140184
  • Pinckneyville Community Hospital Hospital, Pinckneyville, IL, CCN 141307
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71008890AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinckneyville Community Hospital CurrentSince Jul 26, 2021 Accepting new patients
Deaconess Clinic Inc. Nurse Practitioner Current Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Nurse Practitioner Current Accepting new patients
Pinckneyville Community Hospital CurrentSince Jul 26, 2021 Accepting new patients
Deaconess Clinic, Inc. Nurse Practitioner CurrentSince Mar 21, 2022 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Nurse Practitioner CurrentSince Oct 1, 2023 Accepting new patients
Deaconess Clinic Inc Nurse Practitioner CurrentSince Mar 21, 2022 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Nurse Practitioner CurrentSince Oct 1, 2023 Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner Current Accepting new patients
Deaconess Clinc Inc Nurse Practitioner CurrentSince Oct 1, 2022 Accepting new patients
Deaconess Illinois Clinic, Inc Past Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner Past Accepting new patients

Locations

303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050

2700 W Deyoung St
Marion, IL 62959
Phone (618) 969-8633

5383 State Route 154
Pinckneyville, IL 62274
Phone (618) 357-2131

509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939

909 W Main St
West Frankfort, IL 62896
Phone (618) 372-6040

4506 N 1st Ave
Evansville, IN 47710
Phone (812) 428-6161

545 S Boehne Camp Rd
Evansville, IN 47712
Phone (812) 402-1264

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

4011 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 858-2100

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

2242 US Highway 41 N
Henderson, KY 42420
Phone (270) 844-8515

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

2710 Heartland Crossing Blvd
Owensboro, KY 42303
Phone (270) 561-0140

Interoperability endpoints

  • Direct secure messaging: sstevens230236@direct.deaconess.com
  • Direct secure messaging: sabrina.stevens.1@27782.direct.athenahealth.com

Organizations & group practices 12

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 4

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": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1770050403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17410 HARRIS SCHOOL RD",
            "city": "JOHNSTON CITY",
            "state": "IL",
            "postal_code": "629512421",
            "telephone_number": "618-889-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17410 HARRIS SCHOOL RD",
            "city": "JOHNSTON CITY",
            "state": "IL",
            "postal_code": "629512421",
            "telephone_number": "618-889-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "SABRINA",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "0",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71008890A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sstevens@direct.pvillehosp.org",
            "affiliation": "N",
            "endpointDescription": "Family Medical Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "5383 State Route 154",
            "city": "Pinckneyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622743342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnston City, IL

Sources for this page

Verify at the official NPI Registry.