Individual provider Active NPI

Karen L Eggers, FNP-BC

  • Family Nurse Practitioner
  • Spring Valley, IL
National Provider Identifier
1073806048
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209008844 Issued in IL
Practice address
415 E 2ND St
Spring Valley, IL 61362-1517
Phone
(815) 664-2365
Fax
(815) 663-2191
NPI assigned
May 24, 2011
Last updated
May 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209008844 IL Primary

Addresses

Primary practice location

415 E 2ND St
Spring Valley, IL 61362-1517

Mailing address

415 E 2ND St
Spring Valley, IL 61362-1517
Phone (815) 664-2365

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130718000482 IL Practitioner - Nurse Practitioner 6800037722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mendota Community HospitalGroup PAC ID 2264335777, 51 clinicians

Practice addresses (Care Compare)

1405 E 12TH St
Suite 600
Mendota, IL 61342-9012
Phone (815) 538-7200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mendota Community Hospital CurrentSince Jun 19, 2023 Accepting new patients
Mendota Community Hospital Current Accepting new patients
Mendota Community Hospital CurrentSince Jun 19, 2023 Accepting new patients
Osf Multi-Specialty Group Past Accepting new patients

Locations

1404 Washington St
Mendota, IL 61342
Phone (815) 538-1825

1405 E 12th St
Ste 600
Mendota, IL 61342
Phone (815) 538-7200

124 SW Adams St
Peoria, IL 61602
Phone (309) 655-2850

415 E 2nd St
Spring Valley, IL 61362
Phone (815) 221-1340

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1073806048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E 2ND ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621517",
            "telephone_number": "815-664-2365",
            "fax_number": "815-663-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E 2ND ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621517",
            "telephone_number": "815-664-2365",
            "fax_number": "815-663-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGERS",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209008844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, IL

Sources for this page

Verify at the official NPI Registry.