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STATERA HEALTH CARE, LLC
NPI 1043874449
Emergency Medicine in Harrisburg, IL

Active since May 01, 2019
100 DR WARREN TUTTLE DR, HARRISBURG, IL 62946(618) 833-1691 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 4, 2023, Apr 9, 2021, May 1, 2019 (3 updates tracked since 2019).

About Statera Health Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATERA HEALTH CARE, LLC (NPI 1043874449) is a healthcare organization registered as an emergency medicine in Harrisburg, Illinois and active in the NPI registry since May 2019. The organization maintains 2 additional practice locations and lists Caleb Sutton, Business Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1043874449
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameSTATERA HEALTH CARE, LLC
Location Address100 DR WARREN TUTTLE DRHarrisburg, IL 62946-2718
Mailing Address2250 N Illinois AveCarbondale, IL 62901-5612 · (618) 833-1691 · Fax (618) 861-5302
Phone(618) 833-1691
Organization SubpartNo
Authorized OfficialCaleb SuttonBusiness Operations Manager · (618) 833-1691
Enumeration DateMay 1, 2019
Last NPPES UpdateMay 4, 20233 updates tracked since enumeration
NPPES CertifiedMay 4, 2023
✔ NPI 1043874449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedSurgeryTaxonomy 208600000X
100 DR WARREN TUTTLE DR, Harrisburg, IL 62946
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Secondary Practice Locations 2

Location 1200 E Fairman AveWatseka, IL 60970-1644 · Phone (815) 432-5841
Location 23333 W DeYoung StMarion, IL 62959-5884 · Phone (618) 998-7000

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Statera Health Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

167

Medicare enrollment records show 167 clinicians reassign Medicare billing to Statera Health Care, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Emergency Medicine86
Family Practice49
Nurse Practitioner16
Internal Medicine13
General Practice1
Hospitalist1
Pediatric Medicine1

Nearest to this location (20)

See all 167
Thomas Bucinski, MD
Emergency Medicine
NPI 1073541355
100 DR WARREN TUTTLE DR
Harrisburg, IL 62946
(618) 253-7671
✔ PECOSSame address
Edward Burtis, FNP-C
Nurse Practitioner
NPI 1528602034
100 DR WARREN TUTTLE DR
Harrisburg, IL 62946
(618) 253-7671
✔ PECOS✔ Accepts MedicareSame address
Timothy Morthland, M.D.
Family Practice
NPI 1255375515
100 DR WARREN TUTTLE DR
Harrisburg, IL 62946
(618) 253-7671
✔ PECOSSame address
Brittni Roldan, NURSE PRACTITIONER
Nurse Practitioner
NPI 1770975393
100 DR WARREN TUTTLE DR
Harrisburg, IL 62946
(618) 253-7671
✔ PECOS✔ Accepts MedicareSame address
Amy Stevens, NP
Nurse Practitioner
NPI 1932919073
100 DR WARREN TUTTLE DR
Harrisburg, IL 62946
(618) 253-7671
✔ PECOS✔ Accepts Medicare0.3 mi
Nicole Waters, DO, PHD
Family Practice
NPI 1407416308
7211 US 45 S
Carrier Mills, IL 62917
(618) 294-8247
✔ PECOS✔ Accepts Medicare4.8 mi
Morgan Walker
Nurse Practitioner
NPI 1447843172
1620 WINKLEMAN RD
Harrisburg, IL 62946
(618) 559-8667
✔ PECOS✔ Accepts Medicare8.3 mi
Matthew Datzman, MD
Emergency Medicine
NPI 1043254386
105 KANE RD
Eldorado, IL 62930
(618) 268-6212
✔ PECOS✔ Accepts Medicare8.6 mi
Brandon Edwards, NP-C
Nurse Practitioner
NPI 1245840636
1600 CROSSROAD SCHOOL RD
Eldorado, IL 62930
(618) 499-2941
✔ PECOS✔ Accepts Medicare11 mi
Robert Sprague, DO
Emergency Medicine
NPI 1255788022
405 W JACKSON ST
Carbondale, IL 62901
(618) 549-0721
✔ PECOS✔ Accepts Medicare20 mi
James Alexander, MD
Family Practice
NPI 1114094851
1009 W MAIN ST
Marion, IL 62959
(618) 992-3272
✔ PECOS✔ Accepts Medicare20 mi
Clinton Mohr, M.D.
Internal Medicine
NPI 1356427736
1008 W CHERRY ST STE D
Marion, IL 62959
(618) 997-2396
✔ PECOS✔ Accepts Medicare20 mi
Era Mattingly, APN
Nurse Practitioner
NPI 1033670062
11522 WHITE PINE AVE
Marion, IL 62959
(618) 889-4834
✔ PECOS✔ Accepts Medicare21 mi
Mark Rotich, M.D.
Internal Medicine
NPI 1659393601
1401 DANIELLE CT
Marion, IL 62959
(618) 751-7373
✔ PECOS✔ Accepts Medicare21 mi
Syed Jafri, MD
Internal Medicine
NPI 1942226949
3333 W DEYOUNG ST
Marion, IL 62959
(618) 998-7492
✔ PECOS✔ Accepts Medicare23 mi
Sean Mccain, MD
Family Practice
NPI 1629050307
3411 PROFESSIONAL PARK DRIVE
Marion, IL 62959
(618) 997-2161
✔ PECOS✔ Accepts Medicare24 mi
Hope Hargraves, FNP-C
Nurse Practitioner
NPI 1265065007
201 S 14TH ST
Herrin, IL 62948
(618) 942-2171
✔ PECOS26 mi
Mustafa Hindi, M.D.
Emergency Medicine
NPI 1225273915
201 S 14TH ST
Herrin, IL 62948
(618) 942-2171
✔ PECOS✔ Accepts Medicare26 mi
Valentine Ogbodo, MD
Family Practice
NPI 1437608569
201 BAILEY LN
Benton, IL 62812
(618) 439-3161
✔ PECOS27 mi
Othniel Doolittle, M.D.
Internal Medicine
NPI 1386965499
2250 N ILLINOIS AVE
Carbondale, IL 62901
(618) 833-1691
✔ PECOS✔ Accepts Medicare36 mi
See all 167 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Statera Health Care, LLC's NPI number?

The NPI number for Statera Health Care, LLC is 1043874449. It was assigned to this organization in the NPPES registry on May 1, 2019.

Where is Statera Health Care, LLC located?

Statera Health Care, LLC is located at 100 Dr Warren Tuttle Dr, Harrisburg, IL 62946. The listed phone number is (618) 833-1691.

What is Statera Health Care, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Statera Health Care, LLC enrolled in Medicare?

Yes. Statera Health Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Statera Health Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 167 clinicians in 7 Medicare specialties reassign their Medicare billing to Statera Health Care, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (86), Family Practice (49) and Nurse Practitioner (16). Of these, 4 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Statera Health Care, LLC was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.