Individual provider Active NPI

Kimberly Lynn Pruemer, APRN

  • Family Nurse Practitioner
  • Mattoon, IL
National Provider Identifier
1760113138
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209025334 Issued in IL
Practice address
1201 Wooddell Way Ste B
Mattoon, IL 61938-1014
Phone
(217) 238-3000
Fax
(217) 238-3008
NPI assigned
Jun 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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 209025334 IL Primary

Addresses

Primary practice location

1201 Wooddell Way Ste B
Mattoon, IL 61938-1014

Mailing address

PO Box 372
Mattoon, IL 61938-0372

Other practice location 1

2040 Lincoln Ave Ste 100
Charleston, IL 61920-3197
Phone (217) 345-2030

Other practice location 2

1100 Tuscola Blvd
Tuscola, IL 61953-2065
Phone (217) 253-4764

Other practice location 3

1303 W Evergreen Ave Ste 100
Effingham, IL 62401-1638
Phone (217) 540-6123

Other names 1

  • Kimberly Lynn Runde Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberly.pruemer@famcare.eclinicaldirectplus.com

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
I20221006001787 IL Practitioner - Nurse Practitioner 1254717721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

1000 Health Ctr Dr
Mattoon, IL 61938-4644

1004 Health Ctr Dr
Suite 210
Mattoon, IL 61938-4608
Phone (217) 348-4961

1005 Health Ctr Dr
Mattoon, IL 61938-4637

101 Professional PLZ
Mattoon, IL 61938-9252
Phone (217) 238-3730

1100 Tuscola Blvd
Tuscola, IL 61953-2065
Phone (217) 253-2020

1201 Wooddell Way
Suite B
Mattoon, IL 61938-1014
Phone (217) 238-3000

1303 W Evergreen Ave
Effingham, IL 62401-1638

2040 Lincoln Ave
Charleston, IL 61920-3197

Hospital & facility affiliations

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center CurrentSince Jan 1, 2024 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients

Locations

2040 Lincoln Ave
Ste 100
Charleston, IL 61920
Phone (217) 345-2030

1303 W Evergreen Ave
Ste 100
Effingham, IL 62401
Phone (217) 540-6123

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

1201 Wooddell Way
Ste B
Mattoon, IL 61938
Phone (217) 238-3000

1004 Health Center Dr
Ste 210
Mattoon, IL 61938
Phone (217) 238-4961

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1100 Tuscola Blvd
Tuscola, IL 61953
Phone (217) 253-2020

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1760113138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619380372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WOODDELL WAY STE B",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619381014",
            "telephone_number": "217-238-3000",
            "fax_number": "217-238-3008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 Lincoln Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "IL",
            "postal_code": "619203197",
            "country_code": "US",
            "telephone_number": "217-345-2030",
            "fax_number": "217-345-2045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Tuscola Blvd",
            "address_purpose": "LOCATION",
            "city": "Tuscola",
            "state": "IL",
            "postal_code": "619532065",
            "country_code": "US",
            "telephone_number": "217-253-4764",
            "fax_number": "217-253-4886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1303 W Evergreen Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Effingham",
            "state": "IL",
            "postal_code": "624011638",
            "country_code": "US",
            "telephone_number": "217-540-6123",
            "fax_number": "217-347-4969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUEMER",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209025334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.pruemer@famcare.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1106 N Merchant St",
            "city": "Effingham",
            "state": "IL",
            "country_code": "US",
            "postal_code": "624012128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "RUNDE",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mattoon, IL

Sources for this page

Verify at the official NPI Registry.