Individual provider Active NPI

Ruthann Coale, APRN

  • Women's Health Nurse Practitioner
  • Carbondale, IL
National Provider Identifier
1942425889
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
209-006054 Issued in IL
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

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 51 clinicians

Practice addresses (Care Compare)

101 S Wall St
Carbondale, IL 62901-3021
Phone (618) 519-9200

Hospital & facility affiliations

  • Memorial Hospital of Carbondale Hospital, Carbondale, IL, CCN 140164

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-006054ILMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Health Service and Development Corp CurrentSince Jul 15, 2025 Accepting new patients
Shawnee Health Service and Development Corp Current Accepting new patients
Shawnee Health Service and Development Corp CurrentSince Jul 15, 2025 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. PastSince Jul 1, 2014 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

  • Direct secure messaging: 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.

View all 24

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": "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

Verify at the official NPI Registry.