Individual provider Active NPI

Richard Gerhard Knight, MSN FNP-BC

  • Family Nurse Practitioner
  • O Fallon, IL
National Provider Identifier
1992959282
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.007.252 Issued in IL
Practice address
320 E Highway 50
O Fallon, IL 62269-2704
Phone
(618) 624-3368
Fax
(618) 624-3387
NPI assigned
Nov 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.007.252 IL Primary

Addresses

Primary practice location

320 E Highway 50
O Fallon, IL 62269-2704

Mailing address

2620 Odin Rd
Odin, IL 62870-2404
Phone (618) 322-1504

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
I20090407000429 IL Practitioner - Nurse Practitioner 8224185343 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.007.252ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Emergency Anderson Health, Inc CurrentSince Mar 1, 2023 Accepting new patients
Midwest Emergency Sparta, Inc CurrentSince Mar 1, 2023 Accepting new patients
Midwest Inpatient Anderson Health, Inc CurrentSince Mar 1, 2023 Accepting new patients

Locations

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

320 E Highway 50
O Fallon, IL 62269
Phone (618) 624-3368

818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177

400 N Caldwell St
Staunton, IL 62088
Phone (618) 635-2200

Organizations & group practices 3

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": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1992959282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ODIN RD",
            "city": "ODIN",
            "state": "IL",
            "postal_code": "628702404",
            "telephone_number": "618-322-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E HIGHWAY 50",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692704",
            "telephone_number": "618-624-3368",
            "fax_number": "618-624-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "RICHARD",
        "middle_name": "GERHARD",
        "name_prefix": "Mr.",
        "credential": "MSN   FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.007.252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, IL

Sources for this page

Verify at the official NPI Registry.