Individual provider Active NPI

Matthew Edward Weems, FNP-C

  • Family Nurse Practitioner
  • Vandalia, IL
National Provider Identifier
1588200364
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277003120 Issued in IL
Practice address
650 W Taylor St
Vandalia, IL 62471-1227
Phone
(618) 283-1231
NPI assigned
Nov 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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 277003120 IL Primary

Addresses

Primary practice location

650 W Taylor St
Vandalia, IL 62471-1227

Mailing address

2250 N Illinois Ave
Carbondale, IL 62901-5612
Phone (618) 833-1691

Other practice location 1

8 Doctors Park Rd
Mount Vernon, IL 62864-6224
Phone (618) 244-5500

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
I20200220001603 IL Practitioner - Nurse Practitioner 7315374923 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians
Trinity Medical Staffing LLCGroup PAC ID 1759712698, 35 clinicians
Marshall Browning Hospital AssociationGroup PAC ID 9335049980, 31 clinicians

Practice addresses (Care Compare)

650 W Taylor St
Vandalia, IL 62471-1227
Phone (618) 283-5444

8 Doctors Park Rd
Mount Vernon, IL 62864-6224
Phone (618) 244-5500

900 N Washington St
Du Quoin, IL 62832-1233
Phone (618) 542-2146

Hospital & facility affiliations

  • Deaconess Illinois Crossroads Hospital, Mount Vernon, IL, CCN 140294
  • Marshall Browning Hospital Hospital, Du Quoin, IL, CCN 141331
  • Good Samaritan Regional HLTH Center Hospital, Mount Vernon, IL, CCN 140046
  • Fairfield Memorial Hospital 1 Hospital, Fairfield, IL, CCN 141311

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as apm
Quality
69.5
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.020483ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Staffing LLC CurrentSince May 1, 2025 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jan 4, 2020 Accepting new patients
Marshall Browning Hospital Association CurrentSince Nov 29, 2023 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jan 4, 2020 Accepting new patients
Marshall Browning Hospital Association CurrentSince Nov 29, 2023 Accepting new patients
Sarah Bush Lincoln Health Center PastSince Dec 7, 2025 Accepting new patients

Locations

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

900 N Washington St
Du Quoin, IL 62832
Phone (618) 542-1050

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956

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

660 W Taylor St
Ste 101
Vandalia, IL 62471
Phone (618) 283-1231

650 W Taylor St
Vandalia, IL 62471
Phone (618) 283-1231

650 W Taylor St
Fl 2
Vandalia, IL 62471
Phone (217) 342-3400

1442 N 8th St
Ste C
Vandalia, IL 62471
Phone (618) 283-0266

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/sarahbu-e05e23b8

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 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": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1588200364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 N ILLINOIS AVE",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015612",
            "telephone_number": "618-833-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W TAYLOR ST",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711227",
            "telephone_number": "618-283-1231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Doctors Park Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IL",
            "postal_code": "628646224",
            "country_code": "US",
            "telephone_number": "618-244-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEEMS",
        "first_name": "MATTHEW",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-27",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277003120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, IL

Sources for this page

Verify at the official NPI Registry.