Linda Wilson Klemm, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209007850 Issued in IL

Practice address

2 Memorial Dr Ste 101
Decatur, IL 62526-1589

Phone

(217) 876-2756

Fax

(217) 876-3585

NPI assigned

Oct 30, 2009

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

Other names 1

• Linda Wilson Former name

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

Merit-based Incentive Payment System (MIPS)

Final score

73.88 of 100Reported as group

Quality

63.91

Improvement activities

40

Cost

77.03

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1912233602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEMORIAL DR STE 101",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261589",
            "telephone_number": "217-876-2756",
            "fax_number": "217-876-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEMORIAL DR STE 101",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261589",
            "telephone_number": "217-876-2756",
            "fax_number": "217-876-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMM",
        "first_name": "LINDA",
        "middle_name": "WILSON",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-30",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209007850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "WILSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Suzanne Michelle Kistner-Davis, D.C.
• Shannon Dawn Klaska, BCABA
• Susan M Klein, M.D.
• Jaclyn Nicole Kleman
• James Klemens
• Kimberly A Knaus, MASSAGE THERAPIST
• Randy Curtis Kneezel, DMD
• Michael Knobeloch, PSY.D.
• Sherrie Knutson, ATC
• Michael Stephen Koch, MS, ATC

• Family Nurse Practitioner in Decatur, IL
• Providers in Decatur, 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 May 28, 2021; 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.