Individual provider Active NPI

Katie Sloman, FNP

  • Family Nurse Practitioner
  • Chatham, IL
National Provider Identifier
1548700396
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209015679 Issued in IL
Practice address
101 E Plummer Blvd
Chatham, IL 62629-8047
Phone
(217) 483-3487
Fax
(217) 483-8150
NPI assigned
Feb 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209015679 IL Primary

Addresses

Primary practice location

101 E Plummer Blvd
Chatham, IL 62629-8047

Mailing address

101 E Plummer Blvd
Chatham, IL 62629-8047
Phone (217) 483-3487

Other identifiers 1

IdentifierTypeStateIssuer
F02170449OtherAANP CERTIFICATION

Other names 1

  • Katie Pinsker 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
I20170331001557 IL Practitioner - Nurse Practitioner 4385929405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Southern Illinois University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Physician ServicesGroup PAC ID 9032005681, 161 clinicians

Practice addresses (Care Compare)

101 E Plummer Blvd
Chatham, IL 62629-8047
Phone (217) 483-3487

Hospital & facility affiliations

  • Memorial Medical Center Hospital, Springfield, IL, CCN 140148

Merit-based Incentive Payment System (MIPS)

Final score
79.44 of 100Reported as group
Quality
71.79
Promoting interoperability
77
Improvement activities
40
Cost
75.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Physician Services CurrentSince Mar 13, 2017 Accepting new patients
Memorial Physician Services CurrentSince Mar 13, 2017 Accepting new patients
Springfield Clinic LLP Current Accepting new patients
Family Medical Center of Chatham, LLC Current Accepting new patients
Memorial Health Partners Current Accepting new patients
Memorial Expresscare, LLC Past Accepting new patients

Locations

101 E Plummer Blvd
Chatham, IL 62629
Phone (217) 483-3487

Interoperability endpoints

  • Direct secure messaging: katiesloman@memorial.allscriptsdirect.net
  • Direct secure messaging: katiesloman@sfc.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1548700396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E PLUMMER BLVD",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626298047",
            "telephone_number": "217-483-3487",
            "fax_number": "217-483-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E PLUMMER BLVD",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626298047",
            "telephone_number": "217-483-3487",
            "fax_number": "217-483-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOMAN",
        "first_name": "KATIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP CERTIFICATION",
            "identifier": "F02170449",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "PINSKER",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chatham, IL

Sources for this page

Verify at the official NPI Registry.