Individual provider Active NPI

Stefanie Vesper, APRN

  • Nurse Practitioner
  • Glen Carbon, IL
National Provider Identifier
1972243483
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.025017 Issued in IL
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

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220603002194 IL Practitioner - Nurse Practitioner 4385021864 Reassigns benefits to 1 organization

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
Infinite Healthcare Solutions IncGroup PAC ID 3375087836, 3 clinicians

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

LicenseStateTypeSpecialty
209.025017ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Healthcare Solutions Inc CurrentSince Sep 1, 2024 Accepting new patients
Infinite Medical Specialists PC Nurse Practitioner PastSince Sep 1, 2024 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.

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

Verify at the official NPI Registry.