Active NPI
Gerri Dyer, NP
- Nurse Practitioner
- Herrin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB3700 | Other | IL | RAILROAD GROUP NUMBER |
| K07911 | Other | IL | UMWA PROVIDER NUMBER |
| K16716 | Other | IL | UMWA PROVIDER NUMBER |
| P00103464 | Other | IL | RAILROAD 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
Enrollment records 1
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
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 100
- Quality
- 79.62
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Illinois Dermatology, PC | Current | 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
- 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.
-
- Dermatology Physician
- Herrin, IL
- NPI 1306870233
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Murphysboro, IL
- NPI 1356435135
-
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.