Individual provider Active NPI

Gerri Dyer, NP

  • Nurse Practitioner
  • Herrin, IL
National Provider Identifier
1952328486
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Practice address
220 N Park Ave
Suite 2
Herrin, IL 62948-3150
Phone
(618) 942-3344
Fax
(618) 942-5045
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X IL Primary

Addresses

Primary practice location

220 N Park Ave
Suite 2
Herrin, IL 62948-3150

Mailing address

220 N Park Ave
Suite 2
Herrin, IL 62948-3150
Phone (618) 942-3344

Other identifiers 4

IdentifierTypeStateIssuer
CB3700OtherILRAILROAD GROUP NUMBER
K07911OtherILUMWA PROVIDER NUMBER
K16716OtherILUMWA PROVIDER NUMBER
P00103464OtherILRAILROAD PROVIDER NUMBER

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
I20040810000512 IL Practitioner - Nurse Practitioner 7012989148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saint Louis University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Illinois Dermatology, PCGroup PAC ID 2769479203, 14 clinicians

Practice addresses (Care Compare)

1401 Walnut St
Murphysboro, IL 62966-2029
Phone (618) 565-1212

220 N Park Ave
Herrin, IL 62948-3150
Phone (618) 942-3344

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.81 of 100Reported as group
Quality
79.62
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Dermatology, PC CurrentSince Apr 22, 2003 Accepting new patients

Locations

1001 E Main St
Carbondale, IL 62901
Phone (618) 549-2273

220 N Park Ave
Ste Two
Herrin, IL 62948

220 N Park Ave
Ste 2
Herrin, IL 62948
Phone (618) 942-3344

220 N Park Ave
#2
Herrin, IL 62948

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1952328486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N PARK AVE",
            "address_2": "SUITE 2",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483150",
            "telephone_number": "618-942-3344",
            "fax_number": "618-942-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N PARK AVE",
            "address_2": "SUITE 2",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483150",
            "telephone_number": "618-942-3344",
            "fax_number": "618-942-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "GERRI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP NUMBER",
            "identifier": "CB3700",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA PROVIDER NUMBER",
            "identifier": "K07911",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA PROVIDER NUMBER",
            "identifier": "K16716",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER NUMBER",
            "identifier": "P00103464",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Herrin, IL

Sources for this page

Verify at the official NPI Registry.