Active NPI
Kathy Sue Devous, AGACNP-BC
- Acute Care Nurse Practitioner
- Herrin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 041325647
- Practice address
- 405 Rushing Dr
Herrin, IL 62948-3730 - Phone
- (618) 993-3300
- Fax
- (618) 529-0586
- NPI assigned
- Apr 18, 2019
- Last updated
- Aug 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 041325647 | IL | Primary |
| Family Nurse Practitioner | 363LF0000X | 209019029 | IL |
Addresses
Primary practice location
405 Rushing Dr
Herrin, IL 62948-3730
Mailing address
PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 457-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (557) 203-1601
2505 N Lebanon St
Lebanon, IN 46052-8613
Phone (765) 485-8830
2605 N Lebanon St
Lebanon, IN 46052-1476
6085 Heartland Dr
Zionsville, IN 46077-4433
7950 W Jefferson Blvd
Lutheran Hospital of Indiana
Fort Wayne, IN 46804-4140
Phone (260) 435-7001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041325647 | IL | MD | Acute Care Nurse Practitioner |
Practice roles
Locations
201 Bailey Ln
Benton, IL 62812
Phone (618) 438-3113
2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729
2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000
405 Rushing Dr
Herrin, IL 62948
Phone (618) 993-3300
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
4230 Lincolnshire Dr
Ste A
Mount Vernon, IL 62864
Phone (618) 244-6222
5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601
605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-1108
8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
2505 N Lebanon St
Ste 220
Lebanon, IN 46052
Phone (765) 482-8649
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
6085 Heartland Dr
Ste 204
Zionsville, IN 46077
Phone (317) 768-2134
Interoperability endpoints
- kdevou02@yourcarecommunity.org
- kdevousaprn187327@carlehiedirect.net
Organizations & group practices 17
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 SSM Health Good Samaritan Hospital - Mt. Vernon
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1487758801
-
- Hospitalist Physician
- Fort Wayne, IN
- NPI 1306576277
-
dba Witham Health Services
- Family Medicine Physician
- Lebanon, IN
- NPI 1083750293
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Internal Medicine Physician
- Belleville, IL
- NPI 1841613403
-
- Internal Medicine Physician
- Quincy, IL
- NPI 1487897849
-
- Hospitalist Physician
- Carbondale, IL
- NPI 1669926424
-
dba SIH Medical Group
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
dba SSM Health St. Mary's Hospital - Centralia
- Emergency Medicine Physician
- Centralia, IL
- NPI 1770687196
-
dba DeVous Aesthetic
- Nurse Practitioner
- Evansville, IN
- NPI 1487468583
-
- Hospitalist Physician
- Bloomington, IL
- NPI 1669276523
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health Good Samaritan Hospital - Mt. Vernon
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
-
dba SSM Health St. Mary's Hospital - Centralia
- General Acute Care Hospital
- Centralia, IL
- NPI 1083617245
-
dba Lutheran Hospital of Indiana
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
dba Witham Health Services
- General Acute Care Hospital
- Lebanon, IN
- NPI 1699757401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1538722202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3988",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629023988",
"telephone_number": "618-457-5200",
"fax_number": "618-529-0586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 RUSHING DR",
"city": "HERRIN",
"state": "IL",
"postal_code": "629483730",
"telephone_number": "618-993-3300",
"fax_number": "618-529-0586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVOUS",
"first_name": "KATHY",
"middle_name": "SUE",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-18",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "041325647",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209019029",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herrin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.