Kathleen Grace Stocker, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209000579 Issued in IL

Practice address

1745 W Walnut St
Jacksonville, IL 62650-6126

Phone

(217) 243-6454

Fax

(217) 243-1388

NPI assigned

Sep 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McDonough County Hospital DistrictGroup PAC ID 0446140180, 42 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.81 of 100Reported as apm

Quality

85.98

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kstocker103702@ewd.direct.hshs.org

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.

• McDonough County Hospital District

  • Internal Medicine Physician
  • Macomb, IL
  • NPI 1609180082

  IL

  Medicare reassignment Care Compare group NPD
• HSHS Good Shepherd Hospital Inc

  • Critical Access Hospital
  • Shelbyville, IL
  • NPI 1053348532

  IL

  Medicare reassignment NPD
• HSHS Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Springfield, IL
  • NPI 1962644807

  IL

  Medicare reassignment NPD
• McDonough County Hospital District

  • Community/Retail Pharmacy
  • Macomb, IL
  • NPI 1245098458
  Care Compare group NPD
• McDonough County Hospital District

  • Home Health Agency
  • Macomb, IL
  • NPI 1164470191
  Care Compare group
• McDonough County Hospital District

  • Rural Health Clinic/Center
  • Macomb, IL
  • NPI 1235755372
  Care Compare group
• McDonough County Hospital District

  • Anatomic Pathology & Clinical Pathology Physician
  • Macomb, IL
  • NPI 1396055869
  Care Compare group
• McDonough County Hospital District

  • Community Based Hospice Care Agency
  • Macomb, IL
  • NPI 1467410282
  Care Compare group
• McDonough County Hospital District

  • General Acute Care Hospital
  • Macomb, IL
  • NPI 1669420766
  Care Compare group
• McDonough County Hospital District

  • Rural Health Clinic/Center
  • Macomb, IL
  • NPI 1770100414
  Care Compare group
• McDonough County Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Macomb, IL
  • NPI 1851705370
  Care Compare group
• McDonough County Hospital District

  • Certified Registered Nurse Anesthetist
  • Macomb, IL
  • NPI 1871704874
  Care Compare group

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1306949375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 W WALNUT ST",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626506126",
            "telephone_number": "217-243-6454",
            "fax_number": "217-243-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 W WALNUT ST",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626506126",
            "telephone_number": "217-243-6454",
            "fax_number": "217-243-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKER",
        "first_name": "KATHLEEN",
        "middle_name": "GRACE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209000579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370661499007",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kstocker103702@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1745 W Walnut St",
            "city": "Jacksonville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "626506126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Springfield Clinic LLP
• Springfield Clinic LLP
• Springfield Clinic LLP
• Fredrick O Stelling Jr., MA LCP
• Linda V Stevens-Schilsky, M.D.
• Shawna Striplin
• Tracy Ann Stucker, LCSW
• Kathleen Lea Summers, MD, PHD
• Kathryn Silvis Surbeck, SPEECH-LANGUAGE PATH
• Chelsea Marie Suttles, COTA/L

• All providers in Jacksonville, IL
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.

Verify at the official NPI Registry.