Stefani Jane Beverlin, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085005584 Issued in IL

Practice address

912 N Henrietta St
Effingham, IL 62401-1788

Phone

(217) 342-3337

Fax

(217) 347-3328

NPI assigned

Mar 5, 2007

Last updated

Sep 25, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Stefani Jane Voudrie Former name

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Effingham Obstetrics and Gynecology Associates PLLCGroup PAC ID 2961726021, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Anthonys Memorial Hospital Hospital, Effingham, IL, CCN 140032

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stefani.beverlin.1@29023.direct.athenahealth.com

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.

• Effingham Obstetrics and Gynecology Associates PLLC

  • Obstetrics & Gynecology Physician
  • Effingham, IL
  • NPI 1649677063
  Medicare reassignment Care Compare group
• Effingham Obstetrics & Gynecology Associates SC

  • Obstetrics & Gynecology Physician
  • Effingham, IL
  • NPI 1134251853
  NPD
• Together Women's Health Medical Group of Illinois, PLLC

  • Specialist
  • Chicago, IL
  • NPI 1912161100
  NPD (past)

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

• St Anthonys Memorial Hospital of the Hospital Sisters of the Third

  dba St. Anthony's Memorial Hospital

  • General Acute Care Hospital
  • Effingham, IL
  • NPI 1306800602
  Care Compare affiliation
• St Anthonys Memorial Hospital of the Hospital Sisters of the Third

  dba St. Anthony's Memorial Hospitral

  • Clinic/Center
  • Effingham, IL
  • NPI 1881214104

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443139200000",
    "number": "1497884134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 784",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624010784",
            "telephone_number": "217-342-3337",
            "fax_number": "217-347-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 N HENRIETTA ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624011788",
            "telephone_number": "217-342-3337",
            "fax_number": "217-347-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVERLIN",
        "first_name": "STEFANI",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085005584",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.002319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANI",
            "last_name": "VOUDRIE",
            "middle_name": "JANE",
            "prefix": "MISS",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheryl A Beam, NP
• Courtney J Beaumont, RPH
• Dorothy Behrns, F.N.P.
• Kristina Lee Berg, DNP
• Brett Berger
• Amanda Lea Bierman, M.D.
• Mary Jo Bierman, APN
• Mary Colleen Bingham, M.D.
• Biomax Rehabilitation Services, Inc
• Roger E. Bishop, M.D.

• Physician Assistant in Effingham, IL
• Providers in Effingham, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.

Verify at the official NPI Registry.