SARAH ANN DURNELL FNP
NPI 1235568700
Nurse Practitioner - Family in O Fallon, IL

Active since November 05, 2013PECOS EnrolledAccepts Medicare Assignment
310 N 7 HILLS RD STE 220, O FALLON, IL 62269(618) 624-6181(618) 624-7172 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2025, Mar 5, 2025, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Sarah Ann Durnell Fnp NPPES

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

SARAH ANN DURNELL FNP (NPI 1235568700) is an individual family provider in O Fallon, Illinois, licensed in Missouri (2013038980) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Hshs St Elizabeth's Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235568700
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSARAH ANN DURNELLCredential: FNP
Location Address310 N 7 HILLS RD STE 220O Fallon, IL 62269-4111
Mailing AddressPo Box 959203Saint Louis, MO 63195-2197 · (618) 624-6181 · Fax (618) 624-7172
Fax(618) 624-7172
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 5, 2013
Last NPPES UpdateSeptember 18, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
NPI 1235568700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 2013038980
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209013018 (IL)
310 N 7 HILLS RD STE 220, O Fallon, IL 62269

Secondary Practice Locations 2

Location 113303 Tesson Ferry Rd Ste 100Saint Louis, MO 63128-4062 · Phone (314) 722-4741 · Fax (314) 722-4731
Location 210012 Kennerly Rd, Ste 102Saint Louis, MO 63128-2197 · Phone (314) 525-4225 · Fax (314) 525-4229

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sarah Ann Durnell Fnp 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 ID7012148984
PECOS Enrollment IDI20250612000018
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.

Areas of Expertise CMS Part B claims 18

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 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.
137 services112 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.
100 services80 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.
87 services78 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
62 services59 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
54 services51 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
30 services28 patients

Hospital Affiliations CMS Care Compare

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

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%228 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
310 N 7 HILLS RD STE 220
O FALLON, IL 62269
Family Medicine
310 N 7 HILLS RD STE 220
BELLEVILLE, IL 62269
Family Medicine
310 N 7 HILLS RD STE 220
O FALLON, IL 62269
Physician Assistant
310 N 7 HILLS RD STE 220
O FALLON, IL 62269
Family Medicine
310 N 7 HILLS RD STE 220
O FALLON, IL 62269
Physician Assistant
310 N 7 HILLS RD STE 220
O FALLON, IL 62269
Family Medicine
310 N 7 HILLS RD STE 220
O FALLON, IL 62269
Physician Assistant
310 N 7 HILLS RD STE 220
O FALLON, IL 62269

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 Sarah Durnell's NPI number?

The NPI number for Sarah Durnell is 1235568700. It was assigned to this individual provider in the NPPES registry on November 5, 2013.

Where is Sarah Durnell located?

Sarah Durnell practices at 310 N 7 Hills Rd Ste 220, O Fallon, IL 62269. The listed phone number is (618) 624-6181.

What is Sarah Durnell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sarah Durnell enrolled in Medicare?

Yes. Sarah Durnell 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.

What insurance does Sarah Durnell accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Sarah Durnell 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 Sarah Durnell affiliated with any hospitals?

According to CMS data, Sarah Durnell is affiliated with Hshs St Elizabeth's Hospital.

When was this NPI record last updated?

The NPPES record for Sarah Durnell was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.