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SHARRON GINGRICH NP
NPI 1205821923
Nurse Practitioner in Mount Vernon, IL

Active since September 19, 2005PECOS EnrolledAccepts Medicare Assignment
2 GOOD SAMARITAN WAY STE 405, MOUNT VERNON, IL 62864(618) 899-4000 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 20, 2020, Oct 31, 2019, Jul 12, 2019 (3 updates tracked since 2019).

About Sharron Gingrich Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHARRON GINGRICH NP (NPI 1205821923) is an individual nurse practitioner in Mount Vernon, Illinois, licensed in Illinois (209008873) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and maintains a secondary practice location in Elk Grove Village.

NPPES Registry Identity

NPI1205821923
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHARRON GINGRICHCredential: NP
Location Address2 GOOD SAMARITAN WAY STE 405Mount Vernon, IL 62864-2478
Mailing Address1660 Feehanville Dr Ste 200Mount Prospect, IL 60056-6036 · (847) 823-3185 · Fax (847) 823-3318
Phone(618) 899-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 19, 2005
Last NPPES UpdateOctober 20, 20203 updates tracked since enumeration
NPPES CertifiedOctober 20, 2020
✔ NPI 1205821923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209008873
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2 GOOD SAMARITAN WAY STE 405, Mount Vernon, IL 62864
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Secondary Practice Location 1

Location 1136 Biesterfield RdElk Grove Village, IL 60007-3657 · Phone (847) 823-3185 · Fax (847) 823-3318

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sharron Gingrich Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800824509
PECOS Enrollment IDI20241204001443
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Sharron Gingrich reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physician Services Corporation Of Southern Illinois Inc.
3.3 mi
Internal Medicine
4218 LINCOLNSHIRE DR
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 296 clinicians in this Medicare group
NPI 1831101807 (618) 899-3600
24 On Physicians, PC
211 mi
Hospitalist
1100 E NORRIS DR
Ottawa, IL 61350
  • Reassigned Medicare billing, Illinois enrollment
  • 233 clinicians in this Medicare group
NPI 1346480431 (800) 923-2247
Southeast Iowa Regional Medical Center, Inc.
212 mi
Family Planning, Non-Surgical
801 S ROOSEVELT AVE STE C
Burlington, IA 52601
  • Reassigned Medicare billing, Iowa enrollment
  • 253 clinicians in this Medicare group
NPI 1962077230 (319) 768-1225
Henry County Health Center, Inc.
233 mi
Critical Access
407 S WHITE ST
Mount Pleasant, IA 52641
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1871177477 (Iowa)
  • 142 clinicians in this Medicare group
NPI 1811571417 (319) 385-3141

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
342 services232 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services44 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
35 services35 patients
Insertion of temporary bladder tube 51701
This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.
21 services14 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
18 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

Henry County Health Center

Critical Access Hospitals · Mount Pleasant, IA
OwnershipGovernment - Local
CMS Certification Number161356
Location407 S White StMount Pleasant, IA 52641 · Henry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers11 claims4,050 services$1.70 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
5 suppliers27 claims5,010 services$5.09 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
4 suppliers11 claims38 services$6.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sharron Gingrich's NPI number?

The NPI number for Sharron Gingrich is 1205821923. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Sharron Gingrich located?

Sharron Gingrich practices at 2 Good Samaritan Way Ste 405, Mount Vernon, IL 62864. The listed phone number is (618) 899-4000.

What is Sharron Gingrich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sharron Gingrich enrolled in Medicare?

Yes. Sharron Gingrich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sharron Gingrich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sharron Gingrich reassigns Medicare benefits to 4 organizations: Physician Services Corporation Of Southern Illinois Inc. (Mount Vernon, IL), 24 On Physicians, PC (Ottawa, IL), Southeast Iowa Regional Medical Center, Inc. (Burlington, IA) and Henry County Health Center, Inc. (Mount Pleasant, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sharron Gingrich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sharron Gingrich accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 1 other insurer list Sharron Gingrich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sharron Gingrich affiliated with any hospitals?

According to CMS data, Sharron Gingrich is affiliated with Southeast Iowa Regional Medical Center and Henry County Health Center.

When was this NPI record last updated?

The NPPES record for Sharron Gingrich was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.