Active NPI
Shawn Beckemeyer, MD
- Family Medicine Physician
- Coulterville, IL
National Provider Identifier
1023075264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036098027
- Practice address
- 203 E Grant St
Coulterville, IL 62237-1623 - Phone
- (618) 758-2331
- Fax
- (618) 758-2819
- NPI assigned
- May 1, 2006
- Last updated
- May 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036098027 | IL | Primary |
Addresses
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmc@spartahospital.hin.us |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
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
Practice addresses (Care Compare)
203 E Grant St
Coulterville, IL 62237-1623
Phone (618) 758-2331
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparta Community Hospital D/B/a Quality Healthcare Clinics | Current | 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
1300 N Market St
Sparta, IL 62286
Phone (618) 443-4138
205 S Burns Ave
Sparta, IL 62286
Phone (618) 443-2858
207 S Burns Ave
Sparta, IL 62286
Phone (618) 443-3084
818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177
Interoperability endpoints
- cmc@spartahospital.hin.us
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Sparta, IL
- NPI 1114984226
-
- Rural Health Clinic/Center
- Coulterville, IL
- NPI 1083721567
-
- Rural Health Clinic/Center
- Steeleville, IL
- NPI 1669588000
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Pinckneyville, IL
- NPI 1689646523
-
dba Memorial Hospital
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
-
dba Memorial Hospital of Carbondale
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
-
- Critical Access Hospital
- Sparta, IL
- NPI 1548216476
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.