Individual provider Active NPI

Daveda C Voss, NP

  • Family Nurse Practitioner
  • Carthage, IL
National Provider Identifier
1710212535
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.007703 Issued in IL
Practice address
630 Locust St
Carthage, IL 62321-1459
Phone
(217) 357-2173
Fax
(217) 357-3610
NPI assigned
Oct 13, 2009
Last updated
Sep 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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 209.007703 IL Primary
Pain Management Registered Nurse 163WP0000X 041.228009 IL

Addresses

Primary practice location

630 Locust St
Carthage, IL 62321-1459

Mailing address

630 Locust St
Carthage, IL 62321-1459
Phone (217) 357-2173

Other identifiers 1

IdentifierTypeStateIssuer
209.007703OtherILSTATE LICENSE

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
I20100216000079 IL Practitioner - Nurse Practitioner 6709920671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital AssociationGroup PAC ID 0244134682, 39 clinicians

Practice addresses (Care Compare)

D/B/a Memorial Medical Clinics
1450 N County Rd 2050
Carthage, IL 62321
Phone (217) 357-2173

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041.228009ILMDPain Management Registered Nurse
209.007703ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Memorial Hospital Association Current Accepting new patients
Memorial Hospital Association CurrentSince Nov 18, 2009 Accepting new patients
Memorial Hospital Association CurrentSince Nov 18, 2009 Accepting new patients
Memorial Hospital Association CurrentSince Feb 11, 2026 Accepting new patients
Memorial Hospital Association Past Accepting new patients

Locations

1450 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-2173

1454 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-3131

630 Locust St
Carthage, IL 62321
Phone (217) 357-2173

1471 Keokuk St
Hamilton, IL 62341
Phone (217) 847-3383

Interoperability endpoints

  • Direct secure messaging: dvoss584768@direct.unitypoint.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1710212535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 LOCUST ST",
            "city": "CARTHAGE",
            "state": "IL",
            "postal_code": "623211459",
            "telephone_number": "217-357-2173",
            "fax_number": "217-357-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 LOCUST ST",
            "city": "CARTHAGE",
            "state": "IL",
            "postal_code": "623211459",
            "telephone_number": "217-357-2173",
            "fax_number": "217-357-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSS",
        "first_name": "DAVEDA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.007703",
            "primary": true
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "IL",
            "license": "041.228009",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "209.007703",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, IL

Sources for this page

Verify at the official NPI Registry.