KATHRYN E CARNES APN
NPI 1861965873
Nurse Practitioner - Family in Springfield, IL

Active since January 03, 2019PECOS Enrolled
72.14/100
CMS Quality Rating
3132 OLD JACKSONVILLE RD, SPRINGFIELD, IL 62704(217) 588-2600(217) 862-0904 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2019, Jan 3, 2019 (2 updates tracked since 2019).

About Kathryn E Carnes Apn NPPES

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

KATHRYN E CARNES APN (NPI 1861965873) is an individual family provider in Springfield, Illinois, licensed in Illinois (209018893) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861965873
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHRYN E CARNESCredential: APN
Location Address3132 OLD JACKSONVILLE RDSpringfield, IL 62704-7400
Mailing AddressPo Box 3428Springfield, IL 62708-3428 · (217) 588-2624 · Fax (217) 757-2021
Fax(217) 862-0904
Sole ProprietorNo
Enumeration DateJanuary 3, 2019
Last NPPES UpdateApril 15, 20192 updates tracked since enumeration
NPI 1861965873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209018893
3132 OLD JACKSONVILLE RD, Springfield, IL 62704

Other Names 1

Other Name (5)Katie E Carnes Apn

Other Identifiers 1

Other041384491IL · Rn License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kathryn E Carnes Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.
37 services36 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62704 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.

72.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Improvement Activities40
Cost53.06

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.

Nurse Practitioner (Family)
3132 OLD JACKSONVILLE RD, SUITE 200
SPRINGFIELD, IL 62704
Nurse Practitioner (Family)
3132 OLD JACKSONVILLE RD, SUITE 200
SPRINGFIELD, IL 62704
Occupational Therapist (Hand)
3132 OLD JACKSONVILLE RD, SUITE 140
SPRINGFIELD, IL 62704
Nurse Practitioner
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Internal Medicine
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Occupational Therapist
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Nurse Practitioner (Family)
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Psychologist (Clinical)
3132 OLD JACKSONVILLE RD, SUITE 140
SPRINGFIELD, IL 62704

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 Carnes's NPI number?

The NPI number for Kathryn Carnes is 1861965873. It was assigned to this individual provider in the NPPES registry on January 3, 2019. The provider is also known as Katie E Carnes Apn.

Where is Kathryn Carnes located?

Kathryn Carnes practices at 3132 Old Jacksonville Rd, Springfield, IL 62704. The listed phone number is (217) 588-2600.

What is Kathryn Carnes's specialty?

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

Is Kathryn Carnes enrolled in Medicare?

Yes. Kathryn Carnes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathryn Carnes was last updated on April 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.