Individual provider Active NPI

Cari Stefani, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Granite City, IL
National Provider Identifier
1508286477
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277002751 Issued in IL
Practice address
50 Northgate Industrial Dr
Granite City, IL 62040-6805
Phone
(188) 892-4378
NPI assigned
Apr 18, 2014
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209011431 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277002751 IL Primary

Addresses

Primary practice location

50 Northgate Industrial Dr
Granite City, IL 62040-6805

Mailing address

224 E Halifax Dr
Waterloo, IL 62298-5612
Phone (618) 340-0147

Other names 1

  • Cari Lutker Former name

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
I20140924000942 IL Practitioner - Nurse Practitioner 3870712821 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Southern Illinois University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christian Social Services of IllinoisGroup PAC ID 3870068125, 3 clinicians
Human Support ServicesGroup PAC ID 8729166434, 3 clinicians

Practice addresses (Care Compare)

505 S 8TH St
East Saint Louis, IL 62201-2919
Phone (618) 482-7330

988 N Illinois Route 3
Waterloo, IL 62298-1000
Phone (618) 939-4444

988 N Illinois Route 3
PO Box 146
Waterloo, IL 62298-0146
Phone (618) 939-4444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Health Systems Inc. CurrentSince Oct 7, 2022 Accepting new patients
Chestnut Health Systems Inc CurrentSince Oct 7, 2022 Accepting new patients
Comprehensive Behavioral Health Center of St. Clair County, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Ahs Il Medical Group LLC CurrentSince Mar 1, 2023 Accepting new patients
Comprehensive Behavioral Health Center of St. Clair County, Inc. Current Accepting new patients
Human Support Services CurrentSince Jul 1, 2024 Accepting new patients
Comprehensive Mental Health Center of St. Clair County, Inc. CurrentSince Sep 1, 2024 Accepting new patients

Locations

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

1003 Martin Luther King Dr
Bloomington, IL 61701
Phone (309) 827-6026

505 S 8th St
East Saint Louis, IL 62201

4273 S State Route 159
Glen Carbon, IL 62034
Phone (618) 288-2297

2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000

50 Northgate Industrial Dr
Granite City, IL 62040
Phone (618) 512-1919

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

988 N Illinois Route 3
Waterloo, IL 62298
Phone 61893944441242

Interoperability endpoints

  • Direct secure messaging: stefanic@yourcarecommunity.org

Organizations & group practices 8

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": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1508286477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 E HALIFAX DR",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622985612",
            "telephone_number": "618-340-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NORTHGATE INDUSTRIAL DR",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620406805",
            "telephone_number": "188-892-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANI",
        "first_name": "CARI",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011431",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277002751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARI",
            "last_name": "LUTKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Granite City, IL

Sources for this page

Verify at the official NPI Registry.