Active NPI
Rebekah B Bogan, FNP
- Family Nurse Practitioner
- Cairo, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 277001252
- Practice address
- 13245 Kessler Rd
Cairo, IL 62914-3101 - Phone
- (618) 734-4400
- Fax
- (618) 477-8557
- NPI assigned
- Oct 3, 2012
- Last updated
- Sep 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209010690 | IL | |
| Family Nurse Practitioner | 363LF0000X | 277001252 | IL | Primary |
| Family Nurse Practitioner | 363LF0000X | 2012033119 | MO | |
| Registered Nurse | 163W00000X | 041407232 | IL | |
| Registered Nurse | 163W00000X | 2009015162 | MO |
Addresses
Primary practice location
13245 Kessler Rd
Cairo, IL 62914-3101
Mailing address
PO Box 3008
Carbondale, IL 62902-3008
Phone (618) 457-0450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720330608 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rebekah.bogan.p1@direct.chesi.nextgenshare.com | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Market St
Pulaski, IL 62976-1000
Phone (618) 342-6767
13245 Kessler Rd
Cairo, IL 62914-3101
Phone (618) 734-4400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041407232 | IL | MD | Registered Nurse |
| 2009015162 | MO | MD | Registered Nurse |
| 277001252 | IL | MD | Family Nurse Practitioner |
| 2012033119 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southernmost Illinois Community Health Improvement Corporation | Current | Accepting new patients | |
| Community Health & Emergency Services, Inc. | Past | Accepting new patients |
Interoperability endpoints
- rebekah.bogan.p1@direct.chesi.nextgenshare.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Cairo, IL
- NPI 1710979588
-
dba Cairo Diagnostic Center Laboratory
- Clinical Medical Laboratory
- Cairo, IL
- NPI 1912347485
-
dba Pulaski Clinic
- Federally Qualified Health Center (FQHC)
- Pulaski, IL
- NPI 1063404523
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Deaconess Illinois Union County
- Critical Access Hospital
- Anna, IL
- NPI 1710604483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1720330608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3008",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629023008",
"telephone_number": "618-457-0450",
"fax_number": "618-734-3566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13245 KESSLER RD",
"city": "CAIRO",
"state": "IL",
"postal_code": "629143101",
"telephone_number": "618-734-4400",
"fax_number": "618-477-8557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGAN",
"first_name": "REBEKAH",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-03",
"last_updated": "2026-09-29",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209010690",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "277001252",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2012033119",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041407232",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2009015162",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720330608",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rebekah.bogan.p1@direct.chesi.nextgenshare.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "13245 Kessler Rd",
"city": "Cairo",
"state": "IL",
"country_code": "US",
"postal_code": "629143101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cairo, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.