Individual provider Active NPI

Kathleen Weber, FNP-BC

  • Family Nurse Practitioner
  • Effingham, IL
National Provider Identifier
1215376983
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209010479 Issued in IL
Practice address
801 W Temple Ave
Effingham, IL 62401-2168
Phone
(217) 342-4151
NPI assigned
Jun 17, 2013
Last updated
Mar 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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 209010479 IL Primary

Addresses

Primary practice location

801 W Temple Ave
Effingham, IL 62401-2168

Mailing address

1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541

Other practice location 1

206 N Pearl St
Teutopolis, IL 62467-1134
Phone (217) 857-6481

Other practice location 2

300 N Maple St
Effingham, IL 62401-2003
Phone (217) 342-4151

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kathleenweber@sfc.allscriptsdirect.net

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
I20150116001592 IL Practitioner - Nurse Practitioner 6305160516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Clinic, LLPGroup PAC ID 0547166076, 678 clinicians

Practice addresses (Care Compare)

300 N Maple
Effingham, IL 62401-2003
Phone (217) 528-7541

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as apm
Quality
75.65
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Anthonys Memorial Hospital of the Hospital Sisters of the Third CurrentSince Jan 1, 2014 Accepting new patients
Springfield Clinic, LLP CurrentSince Jan 1, 2016 Accepting new patients

Locations

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

300 N Maple St
Effingham, IL 62401
Phone (217) 342-4151

503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121

801 W Temple Ave
Effingham, IL 62401
Phone (217) 342-5800

501 N Main St
Flora, IL 62839
Phone (618) 403-5040

601 W Washington St
Ste 1
Newton, IL 62448
Phone (217) 347-2707

1025 S 6th St
Springfield, IL 62703

775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300

206 N Pearl St
Teutopolis, IL 62467
Phone (217) 857-6146

Interoperability endpoints

  • Direct secure messaging: kathleen.weber.2@28977.direct.athenahealth.com

Organizations & group practices 2

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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1215376983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032403",
            "telephone_number": "217-528-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W TEMPLE AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012168",
            "telephone_number": "217-342-4151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 N Pearl St",
            "address_purpose": "LOCATION",
            "city": "Teutopolis",
            "state": "IL",
            "postal_code": "624671134",
            "country_code": "US",
            "telephone_number": "217-857-6481",
            "fax_number": "217-857-6094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 N Maple St",
            "address_purpose": "LOCATION",
            "city": "Effingham",
            "state": "IL",
            "postal_code": "624012003",
            "country_code": "US",
            "telephone_number": "217-342-4151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "KATHLEEN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathleenweber@sfc.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1025 S 6th St",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627032403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.