NPIMap

Individual provider Active NPI

Kate Marie Emmerich, MD

  • Family Medicine Physician
  • Carlinville, IL
National Provider Identifier
1477735397
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.125395 Issued in IL
Practice address
20613 N Broad St Ste B
Carlinville, IL 62626-3721
Phone
(217) 854-3881
NPI assigned
Dec 3, 2007
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036.125395 IL Primary

Addresses

Primary practice location

20613 N Broad St Ste B
Carlinville, IL 62626-3721

Mailing address

20733 N Broad St
Carlinville, IL 62626-3710
Phone (217) 854-3141

Other practice location 1

205 S 3rd St
Girard, IL 62640-1547
Phone (217) 627-2222

Other names 1

  • Katie Wilkens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100727000360 IL Practitioner - Family Practice 5597898635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carlinville Area Hospital AssociationGroup PAC ID 9032021373, shared by 6 NPIs, 25 clinicians

Practice addresses (Care Compare)

1611 N Springfield St
Virden, IL 62690-9781
Phone (217) 854-3819

20613 N Broad St
Suite B
Carlinville, IL 62626-3721
Phone (217) 854-3881

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.125395ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carlinville Area Hospital Association Current Accepting new patients
Carlinville Area Hospital Association CurrentSince Aug 1, 2023 Accepting new patients
Carlinville Area Hospital Association CurrentSince Aug 1, 2023 Accepting new patients
Carlinville Area Hospital Association Current Accepting new patients
Carlinville Area Hospital Association Past Accepting new patients

Locations

1001 Morgan St
Carlinville, IL 62626
Phone (217) 854-3141

20613 N Broad St
Ste B
Carlinville, IL 62626
Phone (217) 854-3881

20733 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141

807 Broadway St
Gillespie, IL 62033
Phone (217) 839-3900

205 S 3rd St
Girard, IL 62640
Phone (217) 627-2141

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/carlin-6115abf3
  • Direct secure messaging: katewilkens@cah.allscriptsdirect.net

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

Hospital & facility affiliations 3

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": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1477735397",
    "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": "626263710",
            "telephone_number": "217-854-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20613 N BROAD ST STE B",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626263721",
            "telephone_number": "217-854-3881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Girard",
            "state": "IL",
            "postal_code": "626401547",
            "country_code": "US",
            "telephone_number": "217-627-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMMERICH",
        "first_name": "KATE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.125395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "WILKENS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlinville, IL

Sources for this page

Verify at the official NPI Registry.