Stephanie Sueann Stivers, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209017598 Issued in IL

Practice address

845 S Route 51
Forsyth, IL 62535

Phone

(217) 875-0953

NPI assigned

May 9, 2018

Last updated

Sep 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Toofan Medical Holdings, LTDGroup PAC ID 6800026006, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Toofan Medical Holdings, LTD.

  dba Effingham Express Care

  • Urgent Care Clinic/Center
  • Effingham, IL
  • NPI 1396179693
  Medicare reassignment Care Compare group NPD
• Toofan Medical Holdings, LTD

  dba Central Illinois Urgent Care

  • Urgent Care Clinic/Center
  • Mattoon, IL
  • NPI 1396578092
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1811486350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 S ROUTE 51",
            "city": "FORSYTH",
            "state": "IL",
            "postal_code": "625359809",
            "telephone_number": "217-823-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 S ROUTE 51",
            "city": "FORSYTH",
            "state": "IL",
            "postal_code": "62535",
            "telephone_number": "217-875-0953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Taylorville",
            "state": "IL",
            "postal_code": "625682564",
            "country_code": "US",
            "telephone_number": "217-823-9190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIVERS",
        "first_name": "STEPHANIE",
        "middle_name": "SUEANN",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209017598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Feras Shawish
• Kimberly A Sheppard, D.C.
• Pooja Sheth-Dutt, MD
• Joshua Shoemaker, DC
• Blake Eugene Stelzriede, ATC
• Jaclyn Thompson, LCPC
• Toofan Medical Holdings, LTD (Central Illinois Urgent Care)
• TP Health TX PC (TP Health TX)
• Stacy Anne Twenhafel, O.D.
• Krishna Vaghasia

• Family Nurse Practitioner in Forsyth, IL
• Providers in Forsyth, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.

Verify at the official NPI Registry.