Individual provider Active NPI

Richard Stephen Vogt, FNP-BC

  • Family Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1811258593
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209009565 Issued in IL
Practice address
5500 Maryland Way # 400
Brentwood, TN 37027-4948
Phone
(844) 407-7557
NPI assigned
May 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209009565 IL Primary

Addresses

Primary practice location

5500 Maryland Way # 400
Brentwood, TN 37027-4948

Mailing address

1008 A St
Germantown, IL 62245-2030
Phone (618) 407-6331

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
I20121017000689 IL Practitioner - Nurse Practitioner 4082864640 Reassigns benefits to 9 organizations
I20171009000474 MO Practitioner - Nurse Practitioner 4082864640 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Southern Illinois University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Hospital Centralia IllinoisGroup PAC ID 6709788920, 118 clinicians
Total Access Urgent Care PCGroup PAC ID 8820171929, 130 clinicians

Practice addresses (Care Compare)

400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 436-8000

9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255

Hospital & facility affiliations

  • SSM Health St Mary'S Hospital -Centralia Hospital, Centralia, IL, CCN 140034

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.55
Promoting interoperability
100
Improvement activities
40
Cost
79.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209009565ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Regional Health Center CurrentSince Apr 28, 2025 Accepting new patients
Premise Health of Illinois Medical PC CurrentSince Mar 2, 2015 Accepting new patients
Midwest Emergency Good Samaritan, Inc CurrentSince Jul 9, 2012 Accepting new patients
Total Access Urgent Care, PC CurrentSince Aug 18, 2025 Accepting new patients
Premise Health of Illinois Medical PC CurrentSince Mar 2, 2015 Accepting new patients
Midwest Emergency Centralia Campus Associates, Inc CurrentSince Jul 1, 2012 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Jan 27, 2023 Accepting new patients
First Care Express Care LLC CurrentSince Sep 8, 2018 Accepting new patients
Tauc Il, PC CurrentSince Aug 18, 2025 Accepting new patients
Southeastern Physician Services PC CurrentSince Dec 7, 2019 Accepting new patients
Total Access Urgent Care, PC CurrentSince Aug 18, 2025 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Jan 27, 2023 Accepting new patients
St. Mary'S Hospital Past Accepting new patients

Locations

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

16906 Collection Ctr Dr
Chicago, IL 60693

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

400 Belt Line Rd
Collinsville, IL 62234
Phone (618) 215-5703

5100 Lake Ter NE
Mount Vernon, IL 62864
Phone (618) 244-8793

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-2200

1103 Central Park Dr
O Fallon, IL 62269
Phone (618) 215-5703

10 Emerald Ter
Ste C
Swansea, IL 62226
Phone (618) 277-0939

10 Emerald Ter
Ste A
Swansea, IL 62226
Phone (618) 235-6780

9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522

1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950

5500 Maryland Way
#400
Brentwood, TN 37027
Phone (844) 407-7557

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 1

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1811258593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 A ST",
            "city": "GERMANTOWN",
            "state": "IL",
            "postal_code": "622452030",
            "telephone_number": "618-407-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY # 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274948",
            "telephone_number": "844-407-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGT",
        "first_name": "RICHARD",
        "middle_name": "STEPHEN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-30",
        "last_updated": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.