Individual provider Active NPI

Kara Dobyns, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Flora, IL
National Provider Identifier
1093341687
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209021038 Issued in IL
Practice address
911 Stacey Burk Dr
Flora, IL 62839-3241
Phone
(618) 662-2131
NPI assigned
Mar 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209021038 IL Primary

Addresses

Primary practice location

911 Stacey Burk Dr
Flora, IL 62839-3241

Mailing address

203 W Broadway
Witt, IL 62094-1053
Phone (217) 565-0054

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
I20200409001059 IL Practitioner - Nurse Practitioner 4789013947 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Clay 77 clinicians

Practice addresses (Care Compare)

911 Stacey Burk Dr
Flora, IL 62839-3241
Phone (618) 662-2131

929 Stacey Burk Dr
Flora, IL 62839-3241
Phone (618) 662-2131

Hospital & facility affiliations

  • Decatur Memorial Hospital Hospital, Decatur, IL, CCN 140135
  • Clay County Hospital Hospital, Flora, IL, CCN 141351
  • Sarah Bush Lincoln Health Center Hospital, Mattoon, IL, CCN 140189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Clay CurrentSince Apr 3, 2020 Accepting new patients
County of Clay CurrentSince Apr 3, 2020 Accepting new patients
County of Clay CurrentSince Apr 3, 2020 Accepting new patients
County of Clay Past Accepting new patients

Locations

939 Sunset Rd SW
Clay City, IL 62824
Phone (686) 662-2131

911 Stacey Burk Dr
Flora, IL 62839
Phone (618) 662-2161

14265 Highway 45
Louisville, IL 62858

Interoperability endpoints

  • Direct secure messaging: klentz370800@direct-ehr-ssmhc.com

Organizations & group practices 6

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 3

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": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1093341687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W BROADWAY",
            "city": "WITT",
            "state": "IL",
            "postal_code": "620941053",
            "telephone_number": "217-565-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 STACEY BURK DR",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628393241",
            "telephone_number": "618-662-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBYNS",
        "first_name": "KARA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209021038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flora, IL

Sources for this page

Verify at the official NPI Registry.