Individual provider Active NPI

Danielle Klump, APRN

  • Family Nurse Practitioner
  • Du Quoin, IL
National Provider Identifier
1972833770
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.000024 Issued in IL
Practice address
900 N Washington Street
Du Quoin, IL 62832
Phone
(217) 788-0706
NPI assigned
Dec 30, 2009
Last updated
Feb 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277.000024 IL Primary
Family Nurse Practitioner 363LF0000X 209-007720 IL

Addresses

Primary practice location

900 N Washington Street
Du Quoin, IL 62832

Mailing address

900 N Washington Street PO Box 192
Du Quoin, IL 62832
Phone (217) 788-0706

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
I20100713000394 IL Practitioner - Nurse Practitioner 6800928748 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinckneyville Community HospitalGroup PAC ID 8123921632, 26 clinicians

Practice addresses (Care Compare)

5383 State Route 154
Pinckneyville, IL 62274-3342
Phone 61835721875902

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209-007720ILMDFamily Nurse Practitioner
277.000024ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinckneyville Community Hospital CurrentSince Sep 5, 2025 Accepting new patients
Pinckneyville Community Hospital CurrentSince Sep 5, 2025 Accepting new patients
Marshall Browning Hospital Association CurrentSince Feb 26, 2013 Accepting new patients
Marshall Browning Hospital Association CurrentSince Feb 26, 2013 Accepting new patients
Prairie Cardiovascular Consultants LTD Past Accepting new patients

Locations

900 N Washington St
Du Quoin, IL 62832
Phone (618) 542-1050

5383 State Route 154
Pinckneyville, IL 62274
Phone (618) 357-2131

Interoperability endpoints

  • Direct secure messaging: danielle.klump@mbhdq.medalliesdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1972833770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N WASHINGTON STREET PO BOX 192",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "62832",
            "telephone_number": "217-788-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N WASHINGTON STREET",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "62832",
            "telephone_number": "217-788-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUMP",
        "first_name": "DANIELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-30",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.000024",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-007720",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Quoin, IL

Sources for this page

Verify at the official NPI Registry.