Active NPI
Kyle McCarthy, FNP
- Primary Care Nurse Practitioner
- Canton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 209014506
- Practice address
- 180 S Main St
Canton, IL 61520-2608 - Phone
- (309) 647-0201
- Fax
- (309) 649-6880
- NPI assigned
- Jul 22, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 209014506 | IL | Primary |
Addresses
Primary practice location
180 S Main St
Canton, IL 61520-2608
Mailing address
180 S Main St
Canton, IL 61520-2608
Phone (309) 647-0201
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kyle.mccarthy@gmgil.eclinicaldirectplus.com | Health Information Exchange (HIE) | Graham Hospital Association |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Physical Therapy Services, LTD.
Practice addresses (Care Compare)
180 S Main St
Canton, IL 61520-2608
Phone (309) 647-0201
61 E Side SQ
Canton, IL 61520-2603
Phone (309) 649-1572
Hospital & facility affiliations
- Graham Hospital Association
- Graham Hospital Association
- Mason District Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.26 of 100
- Quality
- 62.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209014506 | IL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graham Hospital Association | Current | Accepting new patients | |
| Graham Hospital Association | Current | Accepting new patients | |
| Graham Hospital Association | Current | Accepting new patients | |
| Graham Hospital Association | Past | Accepting new patients |
Locations
180 S Main St
Canton, IL 61520
Phone (309) 647-5240
175 S Main St
Canton, IL 61520
Phone (309) 647-3937
408 S Main St
Lewistown, IL 61542
Phone (309) 547-9700
Interoperability endpoints
- kyle.mccarthy@gmgil.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Canton, IL
- NPI 1780692087
-
- Multi-Specialty Clinic/Center
- Avon, IL
- NPI 1568005981
-
- Internal Medicine Physician
- Galesburg, IL
- NPI 1710845854
-
- Rural Health Clinic/Center
- Elmwood, IL
- NPI 1093288797
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Canton, IL
- NPI 1154117521
-
- Critical Access Hospital
- Havana, IL
- NPI 1902849649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1346693504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 S MAIN ST",
"city": "CANTON",
"state": "IL",
"postal_code": "615202608",
"telephone_number": "309-647-0201",
"fax_number": "309-647-8613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 S MAIN ST",
"city": "CANTON",
"state": "IL",
"postal_code": "615202608",
"telephone_number": "309-647-0201",
"fax_number": "309-649-6880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "KYLE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-22",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IL",
"license": "209014506",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kyle.mccarthy@gmgil.eclinicaldirectplus.com",
"affiliation": "Y",
"affiliationName": "Graham Hospital Association",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "180 S Main St",
"city": "Canton",
"state": "IL",
"country_code": "US",
"postal_code": "615202608",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Canton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.