Individual provider Active NPI

Kathleen A. Hecksel, M.D.

  • Psychiatry Physician
  • Charleston, IL
National Provider Identifier
1366647679
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036-130472 Issued in IL
Practice address
700 W Lincoln Ave Ste 200
Charleston, IL 61920-2468
Phone
(217) 238-4866
Fax
(217) 238-4868
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301090491 MI
Child & Adolescent Psychiatry Physician 2084P0804X 036-130472 IL
Psychiatry Physician 2084P0800X 036-130472 IL Primary

Addresses

Primary practice location

700 W Lincoln Ave Ste 200
Charleston, IL 61920-2468

Mailing address

PO Box 372
Mattoon, IL 61938-0372

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khecksel@sblhs.cernerdirect.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120806000808 IL Practitioner - Psychiatry 5294869558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as apm
Quality
69.5
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-130472ILMDPsychiatry Physician
4301090491MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jul 30, 2012 Accepting new patients

Locations

700 W Lincoln Ave
Ste 200
Charleston, IL 61920
Phone (217) 238-4042

1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

1005 Health Center Dr
Ste 101
Mattoon, IL 61938
Phone (217) 238-4774

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1366647679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619380372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W LINCOLN AVE STE 200",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202468",
            "telephone_number": "217-238-4866",
            "fax_number": "217-238-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKSEL",
        "first_name": "KATHLEEN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301090491",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036-130472",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-130472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khecksel@sblhs.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Secure Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1005 Health Center Dr Ste 101",
            "city": "Mattoon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "619384693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, IL

Sources for this page

Verify at the official NPI Registry.