Kevin J Kusler, PA-C
Individual provider Active NPI Physician Assistant · Monmouth, IL
NPI 1881680478 · NPPES record last updated May 28, 2014
Key facts
- NPI
- 1881680478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 08500188 (IL)
- Practice address
- 1000 W Harlem Ave
Monmouth, IL 61462-1007 - Phone
- (309) 734-3141
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osf Healthcare System
Advanced Physical Therapy Services, LTD.
Practice addresses (Care Compare)
1000 W Harlem Ave
Monmouth, IL 61462-1007
Phone (309) 734-3141
300 Tenney St
Kewanee, IL 61443-3452
Phone (309) 853-5500
Hospital & facility affiliations
- Osf Home Health-Western Region
- Western Ill Home HLTH Care in
- Osf Holy Family Medical Center
- MC Donough District Hospital
- St Mary Medical Center
- Saint Francis Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040427000579 | IL | Practitioner - Physician Assistant | 2860489473 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08500188 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Healthcare System | Current |
Accepting new patients | |
| Osf Healthcare System | Current |
Accepting new patients | |
| Decatur Emergency Medical Services II S C | Past | Accepting new patients | |
| Osf Healthcare System | Past | Accepting new patients |
Locations
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 08500188 | IL | Yes |
Addresses
Primary practice location
1000 W Harlem Ave
Monmouth, IL 61462-1007
Mailing address
1000 W Harlem Ave
Monmouth, IL 61462-1007
Phone (309) 734-3141
Other providers in Monmouth, IL
- Debra Katchen
- John K Knapek
- Grace Iyabo Komolafe
- Amanda Marie Kubis
- Omobolawa Yeside Kukoyi
- Frank Thomas Lasala
- Won K Lee
- Jennifer Lynn Lemaster
- Michael Long
- Kianna Nicole Lyall
All providers in Monmouth, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.