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MS. KATHRYN MARIE HILEMAN APRN, FNP-BC
NPI 1245662725
Nurse Practitioner - Family in Springfield, IL

Active since August 06, 2013PECOS EnrolledAccepts Medicare Assignment
92.57/100
CMS Quality Rating
3631 S 6TH ST STE D, SPRINGFIELD, IL 62703(217) 391-5446 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Ms. Kathryn Marie Hileman Aprn, Fnp-bc NPPES

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

MS. KATHRYN MARIE HILEMAN APRN, FNP-BC (NPI 1245662725) is an individual family provider in Springfield, Illinois, licensed in Missouri (2013021891) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Missouri Delta Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1245662725
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KATHRYN MARIE HILEMANCredential: APRN, FNP-BC
Location Address3631 S 6TH ST STE DSpringfield, IL 62703-4777
Mailing Address3631 S 6th St Ste DSpringfield, IL 62703-4777
Phone(217) 391-5446
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 6, 2013
Last NPPES UpdateMarch 13, 2017
✔ NPI 1245662725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2013021891
Also ListedRegistered NurseTaxonomy 163W00000X · License 2008023301 (MO)
3631 S 6TH ST STE D, Springfield, IL 62703
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Other Identifiers 1

Medicaid1245662725MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Ms. Kathryn Marie Hileman Aprn, Fnp-bc 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 ID1254565039
PECOS Enrollment IDI20131010000241, I20170504002616
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.

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.
211 services120 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
121 services84 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.
27 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Missouri Delta Medical Center

Acute Care Hospitals · Sikeston, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260113
Location1008 North Main StSikeston, MO 63801 · Scott County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Cape Girardeau, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260183
Location211 St Francis DrCape Girardeau, MO 63703 · Cape Girardeau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62703 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.

92.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.03
Promoting Interoperability88
Improvement Activities40

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 Kathryn Hileman's NPI number?

The NPI number for Kathryn Hileman is 1245662725. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Where is Kathryn Hileman located?

Kathryn Hileman practices at 3631 S 6th St Ste D, Springfield, IL 62703. The listed phone number is (217) 391-5446.

What is Kathryn Hileman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathryn Hileman enrolled in Medicare?

Yes. Kathryn Hileman 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 Kathryn Hileman accept?

Health plans from UnitedHealthcare list Kathryn Hileman 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 Kathryn Hileman affiliated with any hospitals?

According to CMS data, Kathryn Hileman is affiliated with Missouri Delta Medical Center and Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Kathryn Hileman was last updated on March 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.