Active NPI
Stefanie Vesper, APRN
- Nurse Practitioner
- Glen Carbon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.025017
- Practice address
- 220 Evergreen LN Unit B
Glen Carbon, IL 62034-1754 - Phone
- (618) 655-0333
- NPI assigned
- Mar 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.025017 | IL | Primary |
Addresses
Primary practice location
220 Evergreen LN Unit B
Glen Carbon, IL 62034-1754
Mailing address
220 Evergreen LN Unit B
Glen Carbon, IL 62034-1754
Phone (618) 655-0333
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.infinitewc.com | ||
| Other URL | https://infinitewc.com/ | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
220 Evergreen LN
Unit a
Glen Carbon, IL 62034-1754
Phone (618) 655-0333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.025017 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Healthcare Solutions Inc | Current | Accepting new patients | |
| Infinite Medical Specialists PC | Nurse Practitioner | Past | Accepting new patients |
Locations
220 Evergreen Ln
Unit A
Glen Carbon, IL 62034
Phone (618) 654-3000
220 Evergreen Ln
Glen Carbon, IL 62034
Phone (309) 212-5663
220 Evergreen Ln
Unit B
Glen Carbon, IL 62034
Phone (618) 655-0333
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.
-
- Family Medicine Physician
- Glen Carbon, IL
- NPI 1366213415
-
- Multi-Specialty Clinic/Center
- Glen Carbon, IL
- NPI 1639061757
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1972243483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 EVERGREEN LN UNIT B",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620341754",
"telephone_number": "618-655-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 EVERGREEN LN UNIT B",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620341754",
"telephone_number": "618-655-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VESPER",
"first_name": "STEFANIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-31",
"last_updated": "2022-03-31",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.025017",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.infinitewc.com",
"affiliation": "N",
"address_1": "220 Evergreen Ln Unit B",
"city": "Glen Carbon",
"state": "IL",
"country_code": "US",
"postal_code": "620341754",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://infinitewc.com/",
"affiliation": "N",
"endpointDescription": "Integrative medical center",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "220 Evergreen Ln Unit B",
"city": "Glen Carbon",
"state": "IL",
"country_code": "US",
"postal_code": "620341754",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glen Carbon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.