Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Annie Rae Lowery, NP-C

Individual provider Registered Nurse · NPI 1407418619

Mrs. Annie Rae Lowery, NP-C is a Nurse Practitioner in Mount Vernon, Illinois. Qualified in 2019, 7 years ago. Practices with Physician Services Corporation of Southern Illinois Inc, a 122-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone: (618) 899-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 432 N Pleasant Ave, Centralia, IL 62801-3006 — (618) 436-8300

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209019877 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041325822 (IL)

Record details

NPI number1407418619
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJuly 8, 2019
Last updated in NPPESOctober 20, 2020
Certification dateOctober 20, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Physician Services Corporation Of Southern Illinois Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mount Vernon