Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Stacey Elaine Oddera , APRN

Nurse Practitioner - Family โ€ข Anna, IL

Active NPI 1558964080 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

98 Peach Ridge Rd
Anna, IL 629062243

Call 6186141400 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

98 Peach Ridge Rd

Anna, IL 629062243

Telephone 6186141400
Fax 6186141401
Organization at the Same NPPES Address or Phone
Southern Illinois Medical Services, Nfp Facility NPI 1538689062

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 4 distinct additional practice-address records in Carbondale, IL; Harrisburg, IL; Herrin, IL and 1 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Metro Infectious Disease Consultants Llc; Southern Illinois Medical Services Nfp. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2020

Medicare patients

42 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $1,854 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $1,490 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

2,960 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$106,154 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $153.92 across 8 records.

By nature of payment

  • Food and Beverage: $153.92 across 8 records.

Reporting-company totals (3 largest of 4)

  • Novo Nordisk Inc: $91.28 across 5 records.
  • ABBVIE INC.: $24.62 across 1 record.
  • Exact Sciences Corporation: $23.02 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Stacey Oddera has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Stacey Oddera as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Anna and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 85% of clinicians listed under Nurse Practitioner - Family in Illinois (2024, 3,321 clinicians with data). Median for this group: 248. Middle half: 96 to 579.

Too few clinicians listed under Nurse Practitioner - Family in Anna have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 90% of clinicians listed under Nurse Practitioner - Family in Illinois (2024, 3,321 clinicians with data). Median for this group: $19,580. Middle half: $7,388 to $43,904.

Too few clinicians listed under Nurse Practitioner - Family in Anna have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 90% of clinicians listed under Nurse Practitioner - Family in Illinois (2024, 3,321 clinicians with data). Median for this group: $14,219. Middle half: $5,226 to $32,910.

Too few clinicians listed under Nurse Practitioner - Family in Anna have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 75% of clinicians listed under Nurse Practitioner - Family in Illinois (2024, 3,964 clinicians with data). Median for this group: 323. Middle half: 91 to 1,216.

Too few clinicians listed under Nurse Practitioner - Family in Anna have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 70% of clinicians listed under Nurse Practitioner - Family in Illinois (2024, 3,964 clinicians with data). Median for this group: $13,195. Middle half: $984 to $110,116.

Too few clinicians listed under Nurse Practitioner - Family in Anna have Medicare Part D data for 2024 to compare.

5 active clinicians are listed under Nurse Practitioner - Family with a practice address in Anna, IL (7,651 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $153.92.

Manufacturer Payment Nature Product Type Amount ($)
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $24.62
Exact Sciences Corporation
Food and Beverage
In-kind items and services
Cologuard Collection Kit General $23.02
Novo Nordisk Inc
Food and Beverage
In-kind items and services
โ€” General $22.77
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $21.73
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $18.72
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
FARXIGA General $15.00
Novo Nordisk Inc
Food and Beverage
In-kind items and services
โ€” General $14.32
Novo Nordisk Inc
Food and Beverage
In-kind items and services
โ€” General $13.74

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2022โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
35 22 $82.00 $51.11
81002 Urinalysis, manual test
19 15 $17.00 $3.41

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amlodipine Besylate Amlodipine Besylate 96 6,231 $483.26 32
Atorvastatin Calcium Atorvastatin Calcium 71 5,510 $577.83 29
Hydrochlorothiazide Hydrochlorothiazide 62 4,040 $265.40 19
Gabapentin Gabapentin 61 2,748 $1,230.88 17
Lisinopril Lisinopril 55 4,568 $223.37 25
Levothyroxine Sodium Levothyroxine Sodium 51 3,900 $390.18 16
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 47 1,019 $813.98 14
Omeprazole Omeprazole 46 3,644 $354.25 17
Metformin Hcl Metformin Hcl 42 3,050 $285.37 16
Metoprolol Succinate Metoprolol Succinate 38 3,180 $524.70 14
Pantoprazole Sodium Pantoprazole Sodium 38 3,120 $297.71 15
Albuterol Sulfate Hfa Albuterol Sulfate 36 921 $1,093.01 11
Potassium Chloride Potassium Chloride 32 1,481 $1,776.03 โ€”
Tramadol Hcl Tramadol Hcl 31 636 $137.90 โ€”
Clopidogrel Clopidogrel Bisulfate 31 1,338 $331.05 โ€”
Losartan Potassium Losartan Potassium 30 2,080 $310.84 11
Fluticasone Propionate Fluticasone Propionate 27 1,370 $256.27 14
Cyclobenzaprine Hcl Cyclobenzaprine Hcl 26 620 $244.38 14
Jardiance Empagliflozin 25 1,650 $32,783.26 โ€”
Trulicity Dulaglutide 25 812 $28,801.27 โ€”
Sertraline Hcl Sertraline Hcl 24 1,440 $51.41 โ€”
Alprazolam Alprazolam 24 690 $70.71 โ€”
Furosemide Furosemide 24 1,694 $114.81 โ€”
Simvastatin Simvastatin 23 1,650 $172.41 โ€”
Telmisartan Telmisartan 23 1,590 $434.99 โ€”

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-08-05
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

License # reported to NPPES IL 277003734
Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES IL 209022361

(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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20220127001898

Enrollment State Jurisdiction

IL

PECOS Control ID

4082006804

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Metro Infectious Disease Consultants Llc

4501 W Deyoung St, Marion, IL 629596360

Phone: 8774483627

Southern Illinois Medical Services Nfp

2808 E Outer Dr, Marion, IL 629595207

Phone: 6189933817

Secondary Practice Locations

405 Rushing Dr

Herrin, IL 629483730

Phone: 6189933300

502 W Saint Louis St Ste 4

West Frankfort, IL 628961968

Phone: 6189373400

2601 W Main St

Carbondale, IL 629011031

Phone: 6185495361

117 E Clark St

Harrisburg, IL 629462702

Phone: 6182528625

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Cristen Mckibben , FNP-C

Nurse Practitioner

NPI 1174304158

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2023

Nurse Practitioner (license number reported to NPPES: IL 209022361)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2023

Nurse Practitioner (license number reported to NPPES: KY 3015488)

๐Ÿ“
Updated Practice Location July 07, 2023

Registered at 98 PEACH RIDGE RD, ANNA, IL 629062243 (Tel: 6186141400)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2023

Nurse Practitioner (license number reported to NPPES: IL 209022361)

๐Ÿ“
Updated Practice Location February 03, 2022

Registered at 2808 OUTER DR, MARION, IL 629595207 (Tel: 6189933817)

๐Ÿ“
Updated Business Mailing Address February 03, 2022

Registered at PO BOX 3988, CARBONDALE, IL 629023988 (Tel: 6184575200)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2022

Nurse Practitioner (license number reported to NPPES: KY 3015488)

โœ…
NPI Profile Active November 18, 2020

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) November 18, 2020

Registered at 10 DEER RIDGE RD, GOLCONDA, IL 629384294 (Tel: 2706196289)

๐Ÿ“
Business Mailing Address (Initial Record) November 18, 2020

Registered at 10 DEER RIDGE RD, GOLCONDA, IL 629384294 (Tel: 2706196289)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) November 18, 2020

Recorded as STACEY ODDERA, APRN

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2020

Nurse Practitioner (license number reported to NPPES: IL 209022361)

๐ŸŸข
Initial NPI Registration & Enumeration November 18, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1558964080
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2020
Last Update: August 05, 2026
Sole Proprietor: No

Other Nurse Practitioner - Family Specialists in Anna

Mailing Address

Po Box 3988

Carbondale, IL 629023988

Phone: 6184575200

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.