Individual provider Active NPI

Kali A Fever, APN, CNP

  • Family Nurse Practitioner
  • Bloomington, IL
National Provider Identifier
1760764385
Registry record updated Sep 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.009041 Issued in IL
Practice address
1404 Eastland Dr
Suite 204
Bloomington, IL 61701-3532
Phone
(309) 662-8813
NPI assigned
Sep 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2011

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 209.009041 IL Primary

Addresses

Primary practice location

1404 Eastland Dr
Suite 204
Bloomington, IL 61701-3532

Mailing address

1404 Eastland Dr
Suite 204
Bloomington, IL 61701-3532
Phone (309) 662-8813

Other names 1

  • Kali A Farrar Former name

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
I20120406000136 IL Practitioner - Nurse Practitioner 1658532338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Dermatology SCGroup PAC ID 8921084476, 5 clinicians

Practice addresses (Care Compare)

1404 Eastland Dr
Suite 204
Bloomington, IL 61701-7904
Phone 30966288139

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.009041ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Dermatology SC CurrentSince Feb 27, 2012 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

1404 Eastland Dr
Ste 204
Bloomington, IL 61701
Phone (309) 662-8813

Interoperability endpoints

  • Direct secure messaging: kfever@directaddress.net

Organizations & group practices 2

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 1

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": "1315612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315612800000",
    "number": "1760764385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 EASTLAND DR",
            "address_2": "SUITE 204",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013532",
            "telephone_number": "309-662-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 EASTLAND DR",
            "address_2": "SUITE 204",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013532",
            "telephone_number": "309-662-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEVER",
        "first_name": "KALI",
        "middle_name": "A",
        "credential": "APN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-10",
        "last_updated": "2011-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.009041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALI",
            "last_name": "FARRAR",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.