Individual provider Active NPI

Kathy Sue Devous, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Herrin, IL
National Provider Identifier
1538722202
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
041325647 Issued in IL
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190503000063 IL Practitioner - Nurse Practitioner 3173865680 Reassigns benefits to 8 organizations
I20240118004249 IN Practitioner - Nurse Practitioner 3173865680 Reassigns benefits to 2 organizations

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
Witham Memorial HospitalGroup PAC ID 4082523170, 107 clinicians
Hospitalist Physicians of Indiana PCGroup PAC ID 1052795986, 148 clinicians

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

LicenseStateTypeSpecialty
041325647ILMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Illinois, LLC CurrentSince Jun 24, 2020 Accepting new patients
Witham Memorial Hospital CurrentSince Nov 12, 2025 Accepting new patients
Cep America-Illinois Hospitalists, LLP CurrentSince Aug 1, 2024 Accepting new patients
Carle Health Medical Group CurrentSince Aug 16, 2022 Accepting new patients
Good Samaritan Regional Health Center CurrentSince Apr 28, 2025 Accepting new patients
Hospitalist Physicians of Indiana, PC CurrentSince Dec 12, 2023 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Dec 1, 2022 Accepting new patients
Devous Aesthetic & Health Maintenance CurrentSince Feb 9, 2025 Accepting new patients
Good Samaritan Regional Health Center Current Accepting new patients
Cogent Healthcare of Illinois, LLC CurrentSince Jun 24, 2020 Accepting new patients
Cep America-Illinois Hospitalists CurrentSince Aug 1, 2024 Accepting new patients
Granite City Hospitalist Services LLC CurrentSince Feb 1, 2022 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Dec 1, 2022 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince May 6, 2019 Accepting new patients
St. Mary's Hospital, Centralia, Illinois Current Accepting new patients
Cep America-Illinois Hospitalists, LLP Current Accepting new patients
Witham Memorial Hospital CurrentSince Nov 12, 2025 Accepting new patients

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

  • Direct secure messaging: kdevou02@yourcarecommunity.org
  • Direct secure messaging: 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.

View all 17

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.