Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KATHLEEN M HAMBLEN
NPI 1114373214
Nurse Practitioner in Sterling, IL

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: July 19, 2026.

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
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

Secondary Practice Location 1

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

Accepted 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
Quality89.8
Promoting Interoperability100
Improvement Activities40
Cost58.73

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.

Ambulance
100 E LEFEVRE RD
STERLING, IL 61081
Occupational Therapist
100 E LEFEVRE RD
STERLING, IL 61081
Occupational Therapist
100 E LEFEVRE RD
STERLING, IL 61081
Physical Therapist
100 E LEFEVRE RD
STERLING, IL 61081
Physical Therapist
100 E LEFEVRE RD
STERLING, IL 61081
Physical Therapist
100 E LEFEVRE RD
STERLING, IL 61081
Physical Therapist
100 E LEFEVRE RD
STERLING, IL 61081
Physical Therapist
100 E LEFEVRE RD
STERLING, IL 61081

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 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.

Where is Kathleen Hamblen located?

Kathleen Hamblen practices at 100 E Lefevre Rd, Sterling, IL 61081. The listed phone number is (630) 669-6091.

What is Kathleen Hamblen's specialty?

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

Is Kathleen Hamblen enrolled in Medicare?

Yes. Kathleen Hamblen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathleen Hamblen accept?

Health plans from Anthem Blue Cross and Blue Shield list Kathleen Hamblen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kathleen Hamblen affiliated with any hospitals?

According to CMS data, Kathleen Hamblen is affiliated with Aspirus Rhinelander Hospital.

When was this NPI record last updated?

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