Individual provider Active NPI

Michele K. Hartke, FNP, PMHNP

  • Family Nurse Practitioner
  • Effingham, IL
National Provider Identifier
1609031772
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277001665 Issued in IL
Practice address
301 W Virginia Ave
Effingham, IL 62401-2255
Phone
(217) 690-4393
Fax
(217) 690-4392
NPI assigned
Jul 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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 277001665 IL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277001665 IL

Addresses

Primary practice location

301 W Virginia Ave
Effingham, IL 62401-2255

Mailing address

301 W Virginia Ave
Effingham, IL 62401-2255
Phone (217) 690-4393

Other practice location 1

650 E State St
Paxton, IL 60957-1334
Phone (217) 784-4251

Other practice location 2

1004 Health Center Dr Ste 100
Mattoon, IL 61938-4607
Phone (217) 238-3435

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
I20080923000227 IL Practitioner - Nurse Practitioner 0547337263 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 N 4TH St
Effingham, IL 62401-3032
Phone (217) 693-4393

650 E State St
Paxton, IL 60957-1334
Phone (217) 784-4251

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277001665ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Aug 16, 2015 Accepting new patients
Foundation Health and Wellness PLLC CurrentSince Aug 1, 2022 Accepting new patients
Gibson Community Hospital Association CurrentSince Dec 1, 2020 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Aug 16, 2015 Accepting new patients
Gibson Community Hospital Association CurrentSince Sep 1, 2025 Accepting new patients
Gibson Community Hospital Association CurrentSince Sep 1, 2025 Accepting new patients
Physician Services Corporation of Southern Illinois Inc. CurrentSince Aug 17, 2015 Accepting new patients
HSHS Medical Group Inc PastSince Dec 1, 2020 Accepting new patients

Locations

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

900 W Temple Ave
Ste 1500
Effingham, IL 62401
Phone (217) 347-0458

1200 N 4th St
Effingham, IL 62401
Phone (217) 347-7179

301 W Virginia Ave
Effingham, IL 62401
Phone (217) 259-7536

1106 N Merchant St
Effingham, IL 62401
Phone (217) 342-7000

929 Stacey Burk Dr
Flora, IL 62839

1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684

7 Doctors Park
Gibson City, IL 60936
Phone (217) 784-5500

602 S 42nd St
Mount Vernon, IL 62864
Phone (618) 242-1100

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

650 E State St
Paxton, IL 60957
Phone (217) 379-0313

1250 W Whittaker St
Salem, IL 62881
Phone (618) 548-3740

Interoperability endpoints

  • Direct secure messaging: mhart@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/25887/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1609031772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W VIRGINIA AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012255",
            "telephone_number": "217-690-4393",
            "fax_number": "217-690-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W VIRGINIA AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012255",
            "telephone_number": "217-690-4393",
            "fax_number": "217-690-4392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 E State St",
            "address_purpose": "LOCATION",
            "city": "Paxton",
            "state": "IL",
            "postal_code": "609571334",
            "country_code": "US",
            "telephone_number": "217-784-4251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1004 Health Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384607",
            "country_code": "US",
            "telephone_number": "217-238-3435",
            "fax_number": "217-238-3492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTKE",
        "first_name": "MICHELE",
        "middle_name": "K.",
        "credential": "FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277001665",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277001665",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.