Active NPI
Pamela Jean Kotschevar, D.C.
- Chiropractor
- Hillsboro, IL
National Provider Identifier
1720040694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-005607
- Practice address
- 114 E Wood St
Hillsboro, IL 62049-1526 - Phone
- (217) 532-9461
- Fax
- (217) 532-9461
- NPI assigned
- Apr 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-005607 | IL | Primary |
Addresses
Primary practice location
114 E Wood St
Hillsboro, IL 62049-1526
Mailing address
PO Box 464
Hillsboro, IL 62049-0464
Phone (217) 532-9461
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06800058 | Other | IL | BLUECROSS/BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100910000168 | IL | Practitioner - Chiropractic | 8628193968 | Practice locations: Hillsboro, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
114 E Wood St
Hillsboro, IL 62049-1526
Phone (217) 532-9461
PO Box
Suite 464
Hillsboro, IL 62049-0464
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-005607 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1720040694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 464",
"city": "HILLSBORO",
"state": "IL",
"postal_code": "620490464",
"telephone_number": "217-532-9461",
"fax_number": "217-532-9461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 E WOOD ST",
"city": "HILLSBORO",
"state": "IL",
"postal_code": "620491526",
"telephone_number": "217-532-9461",
"fax_number": "217-532-9461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTSCHEVAR",
"first_name": "PAMELA",
"middle_name": "JEAN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-005607",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD",
"identifier": "06800058",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.