Individual provider Active NPI

Katie Roedl, APN

  • Family Nurse Practitioner
  • Neoga, IL
National Provider Identifier
1457743338
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209012561 Issued in IL
Practice address
650 Oak Ave
Neoga, IL 62447-1502
Phone
(217) 895-2222
Fax
(217) 895-3598
NPI assigned
Mar 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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 209012561 IL Primary

Addresses

Primary practice location

650 Oak Ave
Neoga, IL 62447-1502

Mailing address

PO Box 372
Mattoon, IL 61938-0372

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katie.roedl@familycare.eclinicaldirectplus.com Health Information Exchange (HIE)

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
I20150616001688 IL Practitioner - Nurse Practitioner 2062723166 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

650 Oak Ave
Neoga, IL 62447-1502
Phone (217) 895-2222

Hospital & facility affiliations

  • Sarah Bush Lincoln Home Care Home health agency, Charleston, IL, CCN 147594
  • Sarah Bush Lincoln Health Center Hospital, Mattoon, IL, CCN 140189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209012561ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center CurrentSince Jul 14, 2025 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jul 14, 2025 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Sarah Bush Lincoln Health Center Past Accepting new patients

Locations

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

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

650 Oak Ave
Neoga, IL 62447
Phone (217) 895-2222

Organizations & group practices 5

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 2

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": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1457743338",
    "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": "650 OAK AVE",
            "city": "NEOGA",
            "state": "IL",
            "postal_code": "624471502",
            "telephone_number": "217-895-2222",
            "fax_number": "217-895-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEDL",
        "first_name": "KATIE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katie.roedl@familycare.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "use this address for Katie Roedl, FNP Family Care Associates",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1106 N Merchant St",
            "city": "Effingham",
            "state": "IL",
            "country_code": "US",
            "postal_code": "624012128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Neoga, IL

Sources for this page

Verify at the official NPI Registry.