Active NPI
Kathleen Probst, NP
- Family Nurse Practitioner
- Chester, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209006709
- Practice address
- 2319 Old Plank Rd
Chester, IL 62233-1153 - Phone
- (618) 826-2388
- Fax
- (618) 826-3350
- NPI assigned
- Aug 14, 2007
- Last updated
- Dec 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 143113 | MO | |
| Family Nurse Practitioner | 363LF0000X | 209006709 | IL | Primary |
Addresses
Primary practice location
2319 Old Plank Rd
Chester, IL 62233-1153
Mailing address
4084 Redcastle PL
Swansea, IL 62226-7853
Phone (618) 239-6923
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209006709 | Other | IL | MEDICAL LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209006709 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy East Ambulatory Services LLC | Current | Accepting new patients | |
| Tauc Il, PC | Current | Accepting new patients | |
| Cep America, LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Total Access Urgent Care, PC | Current | Accepting new patients | |
| Total Access Urgent Care, PC | Current | Accepting new patients | |
| SSM Health Care St Louis | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125
400 Belt Line Rd
Collinsville, IL 62234
Phone (618) 215-5703
404 Belt Line Rd
Collinsville, IL 62234
Phone (618) 215-5703
1103 Central Park Dr
O Fallon, IL 62269
Phone (618) 215-5703
12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
11445 Olive Blvd
Saint Louis, MO 63141
Phone (314) 428-9543
9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740
1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950
13861 Manchester Rd
Wildwood, MO 63011
Phone (636) 220-9333
Organizations & group practices 8
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.
-
dba Total Access Urgent Care
- Urgent Care Clinic/Center
- Saint Louis, MO
- NPI 1962684886
-
dba Mercy-GoHealth Urgent Care
- Urgent Care Clinic/Center
- Chesterfield, MO
- NPI 1134673148
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Bridgeton, MO
- NPI 1851946370
-
dba Total Access Urgent Care
- Urgent Care Clinic/Center
- Saint Louis, MO
- NPI 1952729402
-
dba SSM Health St Clare Fenton
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1386836328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4084 REDCASTLE PL",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622267853",
"telephone_number": "618-239-6923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2319 OLD PLANK RD",
"city": "CHESTER",
"state": "IL",
"postal_code": "622331153",
"telephone_number": "618-826-2388",
"fax_number": "618-826-3350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROBST",
"first_name": "KATHLEEN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "143113",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209006709",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE NUMBER",
"identifier": "209006709",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chester, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.