Individual provider Active NPI

Sophia Alma Schubert, AGNP-C

  • Gerontology Nurse Practitioner
  • Shiloh, IL
National Provider Identifier
1871454702
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
209.033999 Issued in IL
Practice address
1167 Fortune Blvd
Shiloh, IL 62269-7377
Phone
(618) 207-6900
Fax
(618) 207-6901
NPI assigned
Nov 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 209.033999 IL Primary

Addresses

Primary practice location

1167 Fortune Blvd
Shiloh, IL 62269-7377

Mailing address

PO Box 419059
Saint Louis, MO 63141-9059
Phone (314) 851-1000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251223001434 IL Practitioner - Nurse Practitioner 2769977115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
English and McLaughlin, PCGroup PAC ID 7618350448, 10 clinicians

Practice addresses (Care Compare)

1167 Fortune Blvd
Shiloh, IL 62269-7377
Phone (618) 207-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.033999ILMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
English and McLaughlin, P.C. CurrentSince Nov 20, 2025 Accepting new patients

Locations

1167 Fortune Blvd
Shiloh, IL 62269
Phone (618) 207-6900

Interoperability endpoints

  • Direct secure messaging: sophia.schubert.p2@direct.essehealth.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1871454702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419059",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631419059",
            "telephone_number": "314-851-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1167 FORTUNE BLVD",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697377",
            "telephone_number": "618-207-6900",
            "fax_number": "618-207-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUBERT",
        "first_name": "SOPHIA",
        "middle_name": "ALMA",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209.033999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shiloh, IL

Sources for this page

Verify at the official NPI Registry.