Individual provider Active NPI

Kamie Dee McKee, NP-C

  • Family Nurse Practitioner
  • Macomb, IL
National Provider Identifier
1407300627
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209014624 Issued in IL
Practice address
515 E Grant St
Suite 113
Macomb, IL 61455-3368
Phone
(309) 333-2439
NPI assigned
Aug 4, 2016
Last updated
Aug 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209014624 IL Primary

Addresses

Primary practice location

515 E Grant St
Suite 113
Macomb, IL 61455-3368

Mailing address

718 S Lafayette St
Macomb, IL 61455-2954
Phone (309) 333-2439

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160915002302 IL Practitioner - Nurse Practitioner 8820384985 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

515 E Grant St
Suite 113
Macomb, IL 61455-3315
Phone (309) 833-6937

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209014624ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McDonough County Hospital District CurrentSince Aug 15, 2016 Accepting new patients
McDonough County Hospital District Current Accepting new patients
McDonough County Hospital District CurrentSince Aug 15, 2016 Accepting new patients
McDonough County Hospital District Past Accepting new patients

Locations

503 E Grant St
Macomb, IL 61455
Phone (309) 833-5917

515 E Grant St
Macomb, IL 61455
Phone (309) 833-6937

515 E Grant St
Ste 112
Macomb, IL 61455
Phone (309) 833-4104

515 E Grant St
Ste 113
Macomb, IL 61455
Phone (309) 333-2439

515 E Grant St
Ste 213
Macomb, IL 61455
Phone (309) 836-1700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1407300627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 S LAFAYETTE ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552954",
            "telephone_number": "309-333-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E GRANT ST",
            "address_2": "SUITE 113",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553368",
            "telephone_number": "309-333-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "KAMIE",
        "middle_name": "DEE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, IL

Sources for this page

Verify at the official NPI Registry.