Organization Active NPI

Gerthy C Pierre LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • O Fallon, IL
National Provider Identifier
1821746421
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GERTHY C PIERRE LLC
Doing business as
Sunrise Family Practice Weight loss and Pain Management
Practice address
9 Eagle Ctr Ste 3
O Fallon, IL 62269-1948
Phone
(618) 954-7434
Fax
(888) 533-1766
NPI assigned
Mar 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Gerthy Cipus Pierre, FNPNPI 1083126353
Title
Family Nurse Practitioner
Phone
(847) 852-0145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

9 Eagle Ctr Ste 3
O Fallon, IL 62269-1948

Mailing address

1706 Cloverdale Dr
Edwardsville, IL 62025-5500
Phone (618) 954-7434

Other practice location 1

3929 Magnolia Ave Apt 4A
Saint Louis, MO 63110-4045
Phone (618) 954-7434

Other names 1

  • Sunrise Family Practice Weight loss and Pain Management Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://sunrisefamilypractice.net/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX, FL, MO4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20220517001039 IL Part B Supplier - Clinic/Group Practice 4082091863 Receives reassigned benefits from 1 practitioner
Practice locations: Edwardsville, IL
O20250829001801 TX Part B Supplier - Clinic/Group Practice 4082091863 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX
O20251119005244 FL Part B Supplier - Clinic/Group Practice 4082091863 Receives reassigned benefits from 1 practitioner
Practice locations: Apopka, FL
O20260618002506 MO Part B Supplier - Clinic/Group Practice 4082091863 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

9 Eagle Ctr
O Fallon, IL 62269
Phone (847) 852-0145

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1821746421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 CLOVERDALE DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620255500",
            "telephone_number": "618-954-7434",
            "fax_number": "888-533-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 EAGLE CTR STE 3",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691948",
            "telephone_number": "618-954-7434",
            "fax_number": "888-533-1766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3929 Magnolia Ave Apt 4A",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631104045",
            "country_code": "US",
            "telephone_number": "618-954-7434",
            "fax_number": "888-533-1766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GERTHY C PIERRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-13",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "CIPUS PIERRE",
        "authorized_official_first_name": "GERTHY",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "847-852-0145",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://sunrisefamilypractice.net/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "https://sunrisefamilypractice.net/",
            "address_1": "1706 Cloverdale Dr",
            "city": "Edwardsville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620255500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sunrise Family Practice Weight loss and Pain Management",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunrise Family Practice Weight loss and Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in O Fallon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.