NPIMap

Individual provider Active NPI

Natasha Rae Minnaert, D.O.

  • Family Medicine Physician
  • Clinton, IL
National Provider Identifier
1851687891
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036161951 Issued in IL
Practice address
422 W White St
Clinton, IL 61727-2272
Phone
(217) 937-5284
Fax
(217) 937-5280
NPI assigned
Jun 28, 2011
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036161951 IL Primary

Addresses

Primary practice location

422 W White St
Clinton, IL 61727-2272

Mailing address

422 W White St
Clinton, IL 61727-2272
Phone (217) 937-5284

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address natasha.minnaert@direct.warnerhospital.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221019000851 IL Practitioner - Family Practice 9830346980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of ClintonGroup PAC ID 0042203127, 19 clinicians

Practice addresses (Care Compare)

422 W White St
Clinton, IL 61727-2272
Phone (217) 935-9571

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
City of Clinton Current Accepting new patients
City of Clinton CurrentSince Oct 1, 2022 Accepting new patients
City of Clinton CurrentSince Oct 1, 2022 Accepting new patients
K M B S C Current Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Gundersen Clinic LTD Past Accepting new patients

Locations

422 W White St
Clinton, IL 61727
Phone (217) 935-9570

Interoperability endpoints

  • Direct secure messaging: natasha.minnaert@direct.warnerhospital.org
  • Direct secure messaging: nminnaert80126@direct.emplifyhealth.org

Organizations & group practices 6

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.

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1851687891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 W WHITE ST",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617272272",
            "telephone_number": "217-937-5284",
            "fax_number": "217-937-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 W WHITE ST",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617272272",
            "telephone_number": "217-937-5284",
            "fax_number": "217-937-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNAERT",
        "first_name": "NATASHA",
        "middle_name": "RAE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036161951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "natasha.minnaert@direct.warnerhospital.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "422 W White St",
            "city": "Clinton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "617272272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clinton, IL

Sources for this page

Verify at the official NPI Registry.