Active NPI
Ruthann Coale, APRN
- Women's Health Nurse Practitioner
- Carbondale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 209-006054
- Practice address
- 101 S Wall St
Carbondale, IL 62901-3021 - Phone
- (618) 519-9200
- Fax
- (618) 519-9404
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 209-006054 | IL | Primary |
Addresses
Primary practice location
101 S Wall St
Carbondale, IL 62901-3021
Mailing address
109 California St
PO Box 577
Carterville, IL 62918
Phone (618) 519-9200
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120125000909 | IL | Practitioner - Nurse Practitioner | 2567639933 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shawnee Health Service and Development Corp
Practice addresses (Care Compare)
101 S Wall St
Carbondale, IL 62901-3021
Phone (618) 519-9200
Hospital & facility affiliations
- Memorial Hospital of Carbondale
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-006054 | IL | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawnee Health Service and Development Corp | Current | Accepting new patients | |
| Shawnee Health Service and Development Corp | Current | Accepting new patients | |
| Shawnee Health Service and Development Corp | Current | Accepting new patients | |
| Shawnee Health Service and Development Corp | Past | Accepting new patients | |
| Shawnee Health Service and Development Corp | Past | Accepting new patients | |
| Physician Services Corporation of Southern Illinois Inc. | Past | Accepting new patients |
Locations
101 S Wall St
Carbondale, IL 62901
Phone (618) 529-0991
1006 S Division St
Carterville, IL 62918
Phone (618) 985-4841
1506 Sioux Dr
Marion, IL 62959
Phone (618) 997-5270
Interoperability endpoints
- ruthann.coale.1@14668.direct.athenahealth.com
Organizations & group practices 24
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.
-
- Federally Qualified Health Center (FQHC)
- Carterville, IL
- NPI 1639295314
IL
-
- Federally Qualified Health Center (FQHC)
- Carterville, IL
- NPI 1053002907
-
- Federally Qualified Health Center (FQHC)
- Marion, IL
- NPI 1043902752
-
- Federally Qualified Health Center (FQHC)
- Carbondale, IL
- NPI 1457381774
-
- Federally Qualified Health Center (FQHC)
- Creal Springs, IL
- NPI 1013620160
-
- Community/Retail Pharmacy
- Murphysboro, IL
- NPI 1043654163
-
- Federally Qualified Health Center (FQHC)
- Carbondale, IL
- NPI 1053878967
-
- Federally Qualified Health Center (FQHC)
- Carbondale, IL
- NPI 1073745345
-
- Federally Qualified Health Center (FQHC)
- Marion, IL
- NPI 1114631967
-
- Federally Qualified Health Center (FQHC)
- Murphysboro, IL
- NPI 1245260645
-
- Federally Qualified Health Center (FQHC)
- Marion, IL
- NPI 1245944008
-
- Federally Qualified Health Center (FQHC)
- Carbondale, IL
- NPI 1285185173
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1942425889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 CALIFORNIA ST",
"address_2": "PO BOX 577",
"city": "CARTERVILLE",
"state": "IL",
"postal_code": "62918",
"telephone_number": "618-519-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S WALL ST",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629013021",
"telephone_number": "618-519-9200",
"fax_number": "618-519-9404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COALE",
"first_name": "RUTHANN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IL",
"license": "209-006054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.