Timothy Stead

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

041239025/209004999 Issued in IL

Practice address

1231 Kleemann Dr
Clinton, IL 61727-2633

Phone

(217) 935-5022

Fax

(217) 935-9592

NPI assigned

Sep 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians

St Mary Medical CenterGroup PAC ID 8628038015, shared by 8 NPIs, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Osf Saint Luke Medical Center Hospital, Kewanee, IL, CCN 141325
• St Mary Medical Center Hospital, Galesburg, IL, CCN 140064

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5670/brand/1/csg/1/fhir/r4
• Direct secure messaging: timothy.stead.1@5670.direct.athenahealth.com

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.

• Ahearn & Associates Medical Center, Inc

  • Rural Health Clinic/Center
  • Kewanee, IL
  • NPI 1114036308
  Medicare reassignment NPD
• St Joseph Medical Center

  dba OSF Saint Joseph Medical Center

  • General Acute Care Hospital
  • Bloomington, IL
  • NPI 1619916806
  NPD (past)
• St Mary Medical Center

  dba OSFMG - Galesburg

  • Family Medicine Physician
  • Galesburg, IL
  • NPI 1457308710

  Nurse Practitioner

  NPD (past)

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

• Osf Healthcare System

  dba Osf Saint Luke Medical Center

  • Critical Access Hospital
  • Kewanee, IL
  • NPI 1871919381
  Care Compare affiliation
• St Mary Medical Center

  dba OSF Saint Mary Medical Center

  • General Acute Care Hospital
  • Galesburg, IL
  • NPI 1164485363
  Care Compare affiliation

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346340973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 KLEEMANN DR",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617272633",
            "telephone_number": "217-935-5022",
            "fax_number": "217-935-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 KLEEMANN DR",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617272633",
            "telephone_number": "217-935-5022",
            "fax_number": "217-935-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEAD",
        "first_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "041239025/209004999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles D Sims, M.D.
• Kati Smith
• Taylor Lynne Spivey
• St. Joseph Medical Center (OSF Medical Group-Clinton)
• Rebecca Stanton, LPC
• Carla Jo Stewart
• Carrie M Tedrick, DPT, ATC
• Elysa Tripp, MS, CCC-SLP
• Walgreen Co (Walgreens #10800)
• Walgreen Co. (Walgreens #10800)

• Nurse Practitioner in Clinton, IL
• Providers in Clinton, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.