NPIMap

Individual provider Active NPI

Shawn Beckemeyer, MD

  • Family Medicine Physician
  • Coulterville, IL
National Provider Identifier
1023075264
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036098027 Issued in IL
Practice address
203 E Grant St
Coulterville, IL 62237-1623
Phone
(618) 758-2331
Fax
(618) 758-2819
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sparta Community Hospital D/B/a Quality Healthcare Clinics 40 clinicians

Practice addresses (Care Compare)

203 E Grant St
Coulterville, IL 62237-1623
Phone (618) 758-2331

Hospital & facility affiliations

  • At Home Health Care Home health agency, Sparta, IL, CCN 147694
  • Sparta Community Hospital Hospital, Sparta, IL, CCN 141349
  • Pinckneyville Community Hospital Hospital, Pinckneyville, IL, CCN 141307
  • Memorial Hospital Hospital, Belleville, IL, CCN 140185
  • HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187
  • Memorial Hospital of Carbondale Hospital, Carbondale, IL, CCN 140164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20060314000597 IL Practitioner - Family Practice 7810904976 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sparta Community Hospital D/B/a Quality Healthcare Clinics CurrentSince Jun 1, 2000 Accepting new patients
Sparta Community Hospital D/B/a Quality Healthcare Clinics Past Accepting new patients
Sparta Community Hospital D/B/a Quality Healthcare Clinics Past Accepting new patients

Locations

203 E Grant St
Coulterville, IL 62237
Phone (618) 758-2331

207 S Burns Ave
Sparta, IL 62286
Phone (618) 443-3084

1300 N Market St
Sparta, IL 62286
Phone (618) 443-4138

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

205 S Burns Ave
Sparta, IL 62286
Phone (618) 443-2858

Interoperability endpoints

  • Direct secure messaging: cmc@spartahospital.hin.us

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036098027 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

203 E Grant St
Coulterville, IL 62237-1623

Mailing address

203 E Grant St
Coulterville, IL 62237-1623
Phone (618) 758-2331

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address cmc@spartahospital.hin.us

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 29, 2026.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1023075264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E GRANT ST",
            "city": "COULTERVILLE",
            "state": "IL",
            "postal_code": "622371623",
            "telephone_number": "618-758-2331",
            "fax_number": "618-758-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E GRANT ST",
            "city": "COULTERVILLE",
            "state": "IL",
            "postal_code": "622371623",
            "telephone_number": "618-758-2331",
            "fax_number": "618-758-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKEMEYER",
        "first_name": "SHAWN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036098027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmc@spartahospital.hin.us",
            "affiliation": "N",
            "address_1": "Coulterville Medical Clinic",
            "address_2": "203 East Grant",
            "city": "Coulterville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coulterville, IL

Sources for this page

Verify at the official NPI Registry.