Kayla Gwen Loepker, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2019026385 Issued in MO

Practice address

6707 Twin Levee Rd
Bartelso, IL 62218-3025

Phone

(618) 980-5908

NPI assigned

Jul 20, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1992189971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 TWIN LEVEE RD",
            "city": "BARTELSO",
            "state": "IL",
            "postal_code": "622183025",
            "telephone_number": "618-980-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 TWIN LEVEE RD",
            "city": "BARTELSO",
            "state": "IL",
            "postal_code": "622183025",
            "telephone_number": "618-980-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEPKER",
        "first_name": "KAYLA",
        "middle_name": "GWEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209024011",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019026385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bartelso SCH Dist 57
• Gwen Renee Fruend, M.S. CCC/SLP
• Patricia Ann Hellmann
• Halle Rickhoff
• Alyse Santel
• Jennifer L. Santel, R.PH.
• Deanna Sue Tebbe, M.S., CCC-SLP

• Family Nurse Practitioner in Bartelso, IL
• Providers in Bartelso, 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 9, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.