Karla Anne Schutzenhofer, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209009461 Issued in IL

Practice address

1054 Martin Luther King Dr
Suite 220
Centralia, IL 62801-3000

Phone

(618) 545-1705

Fax

(618) 545-1703

NPI assigned

Mar 29, 2012

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

James L Schutzenhofer MD LLCGroup PAC ID 9830143957, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mederi Caretenders Home health agency, Mount Vernon, IL, CCN 147251
• Sarah Bush Lincoln Health Center Hospital, Mattoon, IL, CCN 140189
• SSM Health St Mary's Hospital -Centralia Hospital, Centralia, IL, CCN 140034
• Good Samaritan Regional HLTH Center Hospital, Mount Vernon, IL, CCN 140046

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• James L Schutzenhofer MD LLC

  • Internal Medicine Physician
  • Centralia, IL
  • NPI 1861423659
  Medicare reassignment Care Compare group NPD
• Physician Services Corporation of Southern Illinois Inc.

  dba SSM Health Medical Group

  • Internal Medicine Physician
  • Mount Vernon, IL
  • NPI 1831101807
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crossroads Home Care Services, LLC

  dba Mederi Caretenders

  • Home Health Agency
  • Mount Vernon, IL
  • NPI 1437138070
  Care Compare affiliation
• Good Samaritan Regional Health Center

  dba SSM Health Good Samaritan Hospital - Mt. Vernon

  • General Acute Care Hospital
  • Mount Vernon, IL
  • NPI 1609897339
  Care Compare affiliation
• Sarah Bush Lincoln Health Center

  • General Acute Care Hospital
  • Mattoon, IL
  • NPI 1669564662
  Care Compare affiliation
• St Mary's Hospital, Centralia, Illinois

  dba SSM Health St. Mary's Hospital - Centralia

  • General Acute Care Hospital
  • Centralia, IL
  • NPI 1083617245
  Care Compare affiliation

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1902172372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 MARTIN LUTHER KING DR",
            "address_2": "SUITE 220",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013000",
            "telephone_number": "618-545-1705",
            "fax_number": "618-545-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 MARTIN LUTHER KING DR",
            "address_2": "SUITE 220",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013000",
            "telephone_number": "618-545-1705",
            "fax_number": "618-545-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTZENHOFER",
        "first_name": "KARLA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209009461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Kevin Schergen Jr., DPM
• Justine Rachel Schmitt, LCPC
• Max Schraert
• Eugene William Schuster, CADC
• James Louis Schutzenhofer, MD
• Brook Sechrest
• Select Physical Therapy Holdings, Inc.
• Britni Sellers
• Serine Diagnostics Inc.
• Shah Dental Clinic,LLC

• Adult Health Nurse Practitioner in Centralia, IL
• Providers in Centralia, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.