Active NPI
Rebbecca Camerer, NP
- Family Nurse Practitioner
- Carlinville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.021397
- Practice address
- 20733 N Broad St
Carlinville, IL 62626-3710 - Phone
- (217) 854-3141
- NPI assigned
- Jun 14, 2020
- Last updated
- Oct 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.021397 | IL | Primary |
Addresses
Primary practice location
20733 N Broad St
Carlinville, IL 62626-3710
Mailing address
20733 N Broad St
Carlinville, IL 62626-1499
Phone (217) 854-3141
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carlinville Area Hospital Association
Practice addresses (Care Compare)
20733 N Broad St
Carlinville, IL 62626-3710
Phone (217) 854-3141
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.021397 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlinville Area Hospital Association | Current | Accepting new patients | |
| Springfield Clinic LLP | Current | Accepting new patients | |
| Carlinville Area Hospital Association | Current | Accepting new patients | |
| Carlinville Area Hospital Association | Current | Accepting new patients | |
| Carlinville Area Hospital Association | Current | Accepting new patients | |
| Carlinville Area Hospital Association | Past | Accepting new patients |
Locations
20733 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/carlin-6115abf3
- rebbeccacamerer@cah.allscriptsdirect.net
- rebbeccacamerer@sfc.allscriptsdirect.net
Organizations & group practices 6
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 Carlinville Area Hospital
- Critical Access Hospital
- Carlinville, IL
- NPI 1053425124
-
dba Carlinville Area Hospital
- Critical Access Hospital
- Carlinville, IL
- NPI 1932275641
-
dba Virden Family Health Care
- Rural Health Clinic/Center
- Virden, IL
- NPI 1447691571
-
dba Carlinville Family Health Care
- Rural Health Clinic/Center
- Carlinville, IL
- NPI 1992020499
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1215974415
-
dba Carlinville Area Hospital Association - Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Carlinville, IL
- NPI 1275609109
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Carlinville Area Hospital
- Critical Access Hospital
- Carlinville, IL
- NPI 1053425124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665273600000",
"number": "1467077537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20733 N BROAD ST",
"city": "CARLINVILLE",
"state": "IL",
"postal_code": "626261499",
"telephone_number": "217-854-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20733 N BROAD ST",
"city": "CARLINVILLE",
"state": "IL",
"postal_code": "626263710",
"telephone_number": "217-854-3141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERER",
"first_name": "REBBECCA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-14",
"last_updated": "2022-10-09",
"certification_date": "2022-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.021397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlinville, IL
- Joan Brown
- Kristin Buller, LCSW
- Samantha Butcher, OD
- Calloway Chiropractic PC
- Kelly Anne Calloway, DC
- Carlinville Area Hospital Association (Carlinville Area Hospital)
- Carlinville Area Hospital Association (Carlinville Area Hospital Association - Swing Bed)
- Carlinville Area Hospital Association
- Carlinville Area Hospital Association
- Carlinville Area Hospital Association (Carlinville Area Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2022; 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.