Active NPI
Kara Dobyns, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Flora, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209021038
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Clay County Hospital
- Sarah Bush Lincoln Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Clay | Current | Accepting new patients | |
| County of Clay | Current | Accepting new patients | |
| County of Clay | Current | 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
- 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.
-
- Community/Retail Pharmacy
- Flora, IL
- NPI 1235990276
-
- Rural Health Clinic/Center
- Clay City, IL
- NPI 1871950550
-
- Medicare Defined Swing Bed Hospital Unit
- Flora, IL
- NPI 1336345578
-
- Rural Health Clinic/Center
- Louisville, IL
- NPI 1831120401
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.