Sandra Tate, APN, PMNCNS-BC
Sandra Tate, APN, PMNCNS-BC is a Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Marion, IL, registered under NPI 1326093493. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 3412 OFFICE PARK DR, Marion, IL 62959. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 277000849 | IL | Child & Adolescent Psychiatric/Mental… primary |
| 277-000849 | IL | Psychiatric/Mental Health Clinical Nurse… |
This provider holds licence 277000849 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 3577518455
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Illinois | I20050314000599 | Practitioner - Nurse Practitioner |
| Illinois | I20150415002081 | Practitioner - Certified Clinical Nurse Specialist (cns) |
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Psychiatric/Mental Health, Child & Adolescent covers
Definition to come... NUCC Health Care Provider Taxonomy, code 364SP0807X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 364SP0807X | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent | 277000849 | IL | primary |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist Psychiatric/Mental Health | 277-000849 | IL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1326093493 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 24, 2006 |
| Last updated | Jan 15, 2026 |
| Status | Active |
| Sole proprietor | No |
| Credential | APN, PMNCNS-BC |
| Practice address |
3412 OFFICE PARK DR Marion, IL 62959 (618) 292-9999 Fax (618) 551-2757 |
| Mailing address |
1601 MEDLIN RD Centralia, IL 62801 |
| Other identifiers |
CG2264
· Other (IL) 207988 · Other (IL) P00220754 · Other (IL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 2 | 6 | 0 | 9 | 3 | 4 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 4 | 6 | 0 | 9 | 6 | 4 | 9 |
Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.