| Diana Vaughn, FNP-C | |
|
117 E Clark St, Harrisburg, IL 62946-2702 | |
| (618) 252-8625 | |
| (618) 351-4859 |
| Full Name | Diana Vaughn |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 117 E Clark St, Harrisburg, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588185888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 277005089 (Illinois) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 041290795 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wabash General Hospital 1 | Mount carmel, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wabash General Hospital District | 8022908185 | 54 |
| Entity Name | Wabash General Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295834208 PECOS PAC ID: 8022908185 Enrollment ID: O20040319001265 |
| Entity Name | Deaconess Illinois Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962128256 PECOS PAC ID: 5092187021 Enrollment ID: O20230220002667 |
| Entity Name | Deaconess Illinois Crossroads Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528785284 PECOS PAC ID: 0143692178 Enrollment ID: O20230221000097 |
| Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Vaughn, FNP-C Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Diana Vaughn, FNP-C 117 E Clark St, Harrisburg, IL 62946-2702 Ph: (618) 252-8625 |
Mrs. Krysta Ann Mitchell, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 117 E Clark St, Harrisburg, IL 62946 Phone: 618-252-8625 Fax: 618-351-4859 | |
Mrs. Pamela R Atkinson, MSN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 608 Rollie Moore Dr, Harrisburg, IL 62946 Phone: 618-997-5311 Fax: 618-252-6595 | |
Kimberly Ann Keser, CS-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 117 E Clark St, Harrisburg, IL 62946 Phone: 618-252-8625 Fax: 618-351-4859 | |
Mrs. Leah Rose Farley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 117 E Clark St, Harrisburg, IL 62946 Phone: 618-252-8625 Fax: 618-252-8625 | |
Jessica Oakley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 117 E Clark St, Harrisburg, IL 62946 Phone: 618-252-8625 Fax: 618-351-4859 | |
Nichole Lynn Stubbs, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1205 Green St, Harrisburg, IL 62946 Phone: 618-841-1962 | |
Amy Marie Quertermous, APN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 Veterans Dr, Harrisburg, IL 62946 Phone: 618-294-8264 |