Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHLEEN M HAMBLEN
NPI 1114373214
Nurse Practitioner in Sterling, IL

Q: What is Kathleen Hamblen's NPI number?

The NPI number for Kathleen Hamblen is 1114373214. It was assigned to this individual provider in the NPPES registry on May 6, 2016.

Q: What is Kathleen Hamblen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Hamblen was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.

Active since May 06, 2016PECOS EnrolledAccepts Medicare Assignment

84.56/100

CMS Quality Rating

100 E LEFEVRE RD, STERLING, IL 61081(630) 669-6091 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kathleen M Hamblen NPPES

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

KATHLEEN M HAMBLEN (NPI 1114373214) is an individual nurse practitioner in Sterling, Illinois, licensed in Illinois (209013918) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Aspirus Rhinelander Hospital, and maintains a secondary practice location in Minocqua.

NPPES Registry Identity

NPI1114373214

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKATHLEEN M HAMBLEN

Location Address100 E LEFEVRE RDSterling, IL 61081-1278

Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 358-1000

Phone(630) 669-6091

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMay 6, 2016

Last NPPES UpdateJuly 9, 2026

NPPES CertifiedJuly 9, 2026

✔ NPI 1114373214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209013918

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 9830 (WI)

100 E LEFEVRE RD, Sterling, IL 61081

Open in Google Maps ↗

Secondary Practice Location 1

Location 19576 Hwy 70Minocqua, WI 54548-9067 · Phone (715) 358-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen M Hamblen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466742044

PECOS Enrollment IDI20200227000463

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

51 services50 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

39 services39 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

27 services26 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520019

Location2251 North Shore DrRhinelander, WI 54501 · Oneida County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

89.8

Promoting Interoperability

100

Improvement Activities

Cost

58.73

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WENDY BURKE PT

Physical Therapist