NPIMap

Karen A. Weems

Individual provider Active NPI Nurse Practitioner · Quincy, IL

NPI 1366833014 · NPPES record last updated May 14, 2015

Key facts

NPI
1366833014
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
209012694 (IL)
Practice address
1005 Broadway St
Quincy, IL 62301-2834
Phone
(217) 222-6550
NPI assigned
Feb 16, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 20

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.

Hospital & facility affiliations 3

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quincy Physicians and Surgeons Clinic, PLLC (231 clinicians)

Practice addresses (Care Compare)

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 277-3500

1603 Morgan St
Suite 3
Keokuk, IA 52632-3433
Phone (319) 524-4300

Hospital & facility affiliations

  • Blessing Hospice Hospice · Quincy, IL · CCN 141501
  • Blessing Hospital Hospital · Quincy, IL · CCN 140015

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IL, IA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150508001797 IL Practitioner - Nurse Practitioner 1951620178 Reassigns benefits to 1 organization
I20220114001189 IA Practitioner - Nurse Practitioner 1951620178 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quincy Physicians & Surgeons Clinic, PLLC Current
since Mar 25, 2015		 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC Current
since Dec 1, 2021		 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC Nurse Practitioner Current
since Mar 25, 2015		 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC Past Accepting new patients

Locations

1603 Morgan St
Ste 3
Keokuk, IA 52632
Phone (319) 524-3796

1005 Broadway St
Quincy, IL 62301

1025 Maine St
Quincy, IL 62301
Phone 21722265503163

Interoperability endpoints

  • Direct secure messaging: kweems239135@direct.unitypoint.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209012694 IL Yes

Addresses

Primary practice location

1005 Broadway St
Quincy, IL 62301-2834

Mailing address

1025 Maine St
Quincy, IL 62301-4038
Phone (217) 222-6550

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 14, 2015.

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1366833014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014038",
            "telephone_number": "217-222-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012834",
            "telephone_number": "217-222-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEMS",
        "first_name": "KAREN",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209012694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

All providers in Quincy, IL · Nurse Practitioner in Illinois

Sources for this page

Verify at the official NPI Registry.