Michael James , FNP-BC
Nurse Practitioner โข Carbondale, IL
2601 W Main St
Carbondale, IL 629011031
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on July 8, 2022; this date does not establish years in practice.
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Published CMS data list 740 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 229 service units.
- 99213 โ Established patient outpatient office visit: 168 service units.
- G2211 โ Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 145 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 6 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 3,636 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Pantoprazole Sodium โ 582 prescription fills, including refills.
- Ondansetron Hcl โ 534 prescription fills, including refills.
- Peg 3350-Electrolyte (Sodium Chloride/Nahco3/Kcl/Peg) โ 340 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 49 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in Carbondale, IL (2024, 35 clinicians with data). Median for this group: 416. Middle half: 183 to 796.
More Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,561 clinicians with data). Median for this group: 261. Middle half: 101 to 526.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 611 in 2023 to 740 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023โ2024.
Practice Location & Contact Primary Location
2601 W Main St
Carbondale, IL 629011031
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 7 distinct additional practice-address records in Carbondale, IL; Harrisburg, IL; Herrin, IL and 2 more. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Logan Primary Care Service Corp.; 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
2022
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
517 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $58,253 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.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 $40,507 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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
5,176 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
$2,949,203 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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: $4,606.39 across 162 records.
By nature of payment
- Food and Beverage: $4,498.09 across 159 records.
- Education: $108.30 across 3 records.
Reporting-company totals (3 largest of 21)
- ABBVIE INC.: $1,489.43 across 54 records.
- Janssen Pharmaceuticals, Inc: $716.94 across 24 records.
- Madrigal Pharmaceuticals: $556.16 across 11 records.
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.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
4 years (graduated 2022)
CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2022
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Michael James 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.
Can order Medicare-covered services
CMS lists Michael James 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Carbondale and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in Carbondale, IL (2024, 35 clinicians with data). Median for this group: 416. Middle half: 183 to 796.
More Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,561 clinicians with data). Median for this group: 261. Middle half: 101 to 526.
Medicare-allowed amount
A higher Medicare-allowed amount than 60% of clinicians listed under Nurse Practitioner in Carbondale, IL (2024, 35 clinicians with data). Median for this group: $40,180. Middle half: $13,314 to $67,422.
A higher Medicare-allowed amount than 80% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,561 clinicians with data). Median for this group: $21,010. Middle half: $8,652 to $42,014.
Paid by Medicare
A higher Medicare payment amount than 60% of clinicians listed under Nurse Practitioner in Carbondale, IL (2024, 35 clinicians with data). Median for this group: $29,504. Middle half: $9,678 to $48,313.
A higher Medicare payment amount than 80% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,561 clinicians with data). Median for this group: $15,151. Middle half: $6,396 to $31,322.
Medicare Part D prescriptions
More Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Carbondale, IL (2024, 41 clinicians with data). Median for this group: 417. Middle half: 94 to 1,777.
More Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,572 clinicians with data). Median for this group: 259. Middle half: 80 to 930.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under Nurse Practitioner in Carbondale, IL (2024, 41 clinicians with data). Median for this group: $27,076. Middle half: $1,117 to $185,073.
A higher Part D drug cost than 95% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,572 clinicians with data). Median for this group: $10,867. Middle half: $976 to $113,945.
63 active clinicians are listed under Nurse Practitioner with a practice address in Carbondale, IL (4,894 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Carbondale
12.7% of these 63 clinicians have the CMS telehealth indicator.
77.8% of these 63 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 21% from 611 in 2023 to 740 in 2024.
- 2023: 611
- 2024: 740
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $56,502 in 2023 and $58,253 in 2024.
- 2023: $56,502
- 2024: $58,253
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Paid by Medicare
Paid by Medicare stayed about the same: $41,530 in 2023 and $40,507 in 2024.
- 2023: $41,530
- 2024: $40,507
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 83% from 1,991 in 2023 to 3,636 in 2024.
- 2023: 1,991
- 2024: 3,636
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30-day fills
30-day fills increased 77% from 2,917 in 2023 to 5,176 in 2024.
- 2023: 2,917
- 2024: 5,176
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Part D drug cost
Part D drug cost increased 53% from $1,932,354 in 2023 to $2,949,203 in 2024.
- 2023: $1,932,354
- 2024: $2,949,203
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Industry payments (Open Payments)
Industry payments (Open Payments) increased 199% from $1,539.70 in 2023 to $4,606.39 in 2025.
- 2023: $1,539.70
- 2024: $3,364.69
- 2025: $4,606.39
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
Program year 2025 (payments made January 1 โ December 31, 2025): 162 records totaling $4,606.39.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Ipsen Biopharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
IQIRVO | General | $149.99 |
| Madrigal Pharmaceuticals |
Food and Beverage
In-kind items and services
|
REZDIFFRA | General | $134.43 |
| Phathom Pharmaceuticals, Inc. |
Food and Beverage
Cash or cash equivalent
|
VOQUEZNA | General | $125.00 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
MAVYRET | General | $125.00 |
| Gilead Sciences, Inc. |
Food and Beverage
In-kind items and services
|
Livdelzi | General | $125.00 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
RINVOQ | General | $125.00 |
| Ardelyx, Inc. |
Food and Beverage
In-kind items and services
|
IBSRELA | General | $125.00 |
| Madrigal Pharmaceuticals |
Food and Beverage
In-kind items and services
|
REZDIFFRA | General | $124.66 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
SKYRIZI | General | $118.24 |
| Madrigal Pharmaceuticals |
Food and Beverage
In-kind items and services
|
REZDIFFRA | General | $111.46 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
SKYRIZI | General | $106.30 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
|
The Cologuard Plus Collection Kit | General | $99.33 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $98.81 |
| Madrigal Pharmaceuticals |
Food and Beverage
In-kind items and services
|
REZDIFFRA | General | $94.27 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
โ | General | $91.73 |
| Janssen Pharmaceuticals, Inc |
Education
In-kind items and services
|
TREMFYA | General | $89.00 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $84.43 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $83.50 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
โ | General | $49.06 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
WATCHMAN Access System | General | $47.53 |
| Takeda Pharmaceuticals U.S.A., Inc. |
Food and Beverage
In-kind items and services
|
ENTYVIO | General | $34.06 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $33.13 |
| Takeda Pharmaceuticals U.S.A., Inc. |
Food and Beverage
In-kind items and services
|
ENTYVIO | General | $32.57 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $32.26 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
โ | General | $31.01 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ2023 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, 2023โ2024; 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 |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
229 | 184 | $201.14 | $103.48 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
168 | 160 | $142.46 | $73.17 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
|
145 | 137 | $29.59 | $13.43 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
100 | 99 | $175.14 | $89.55 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
85 | 85 | $264.13 | $133.14 |
|
81002
Urinalysis, manual test
|
13 | 13 | $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.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Pantoprazole Sodium | Pantoprazole Sodium | 582 | 34,038 | $7,041.51 | 166 |
| Ondansetron Hcl | Ondansetron Hcl | 534 | 4,121 | $2,411.60 | 487 |
| Peg 3350-Electrolyte | Sodium Chloride/Nahco3/Kcl/Peg | 340 | 352 | $6,576.09 | 317 |
| Omeprazole | Omeprazole | 334 | 19,862 | $4,618.20 | 78 |
| Sod Sulf-Potass Sulf-Mag Sulf | Sodium, Potassium,mag Sulfates | 182 | 209 | $11,356.91 | 178 |
| Linzess | Linaclotide | 165 | 6,630 | $117,836.40 | 37 |
| Famotidine | Famotidine | 162 | 7,757 | $1,741.49 | 41 |
| Dicyclomine Hcl | Dicyclomine Hcl | 156 | 5,934 | $3,062.67 | 44 |
| Sucralfate | Sucralfate | 148 | 6,088 | $4,537.00 | 43 |
| Stelara | Ustekinumab | 72 | 3,304 | $1,954,081.58 | โ |
| Mirtazapine | Mirtazapine | 57 | 2,352 | $880.79 | 11 |
| Lactulose | Lactulose | 52 | 886 | $1,133.72 | 22 |
| Ursodiol | Ursodiol | 48 | 3,195 | $8,549.32 | 12 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 44 | 2,934 | $1,594.98 | 17 |
| Ibsrela | Tenapanor Hcl | 44 | 1,500 | $77,446.36 | โ |
| Budesonide Dr | Budesonide | 43 | 1,706 | $6,083.60 | โ |
| Prednisone | Prednisone | 37 | 315 | $81.52 | 36 |
| Amitriptyline Hcl | Amitriptyline Hcl | 36 | 1,200 | $111.28 | โ |
| Metoclopramide Hcl | Metoclopramide Hcl | 36 | 1,319 | $82.93 | โ |
| Mesalamine | Mesalamine | 35 | 1,866 | $13,044.35 | โ |
| Creon | Lipase/Protease/Amylase | 33 | 1,109 | $129,245.44 | โ |
| Azathioprine | Azathioprine | 30 | 1,560 | $1,254.11 | โ |
| Xifaxan | Rifaximin | 29 | 1,078 | $111,819.38 | โ |
| Gavilyte-N | Sodium Chloride/Nahco3/Kcl/Peg | 28 | 31 | $311.31 | 27 |
| Trulance | Plecanatide | 28 | 1,170 | $21,166.95 | 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: 2026-05-05NUCC Taxonomy Code: 363L00000X
(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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20221017002058
IL
5597131524
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
Logan Primary Care Service Corp.
405 Rushing Dr, Herrin, IL 629483730
Southern Illinois Medical Services Nfp
2601 W Main St, Carbondale, IL 629011031
Phone: 6185495361
Secondary Practice Locations
901 S Commercial St
Harrisburg, IL 629462640
Phone: 6189933817
502 W Saint Louis St Ste 4
West Frankfort, IL 628961968
Phone: 6189373400
117 E Clark St
Harrisburg, IL 629462702
Phone: 6182528625
405 Rushing Dr
Herrin, IL 629483730
Phone: 6189933300
404 Lincoln Dr
Herrin, IL 629483789
Phone: 6189930056
202 W Jackson St
Carbondale, IL 629011409
Phone: 6184573019
2808 Outer Dr
Marion, IL 629595207
Phone: 6189933817
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner - Psychiatric/Mental Health
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 2601 W MAIN ST, CARBONDALE, IL 629011031 (Tel: 6185495361)
Registered at PO BOX 3988, CARBONDALE, IL 629023988 (Tel: 6184575200)
Nurse Practitioner (license number reported to NPPES: IL 209025349)
NPI status registered as active in NPPES database
Registered at 127 JAMESVILLE LN, MURPHYSBORO, IL 629665481 (Tel: 6189674595)
Registered at 127 JAMESVILLE LN, MURPHYSBORO, IL 629665481 (Tel: 6189674595)
Recorded as MICHAEL JAMES, FNP-BC
Nurse Practitioner (license number reported to NPPES: IL 209.025349)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Carbondale
- Hailee Basler, NP-C
- Dr. Cynthia Davis, DNP FNP-BC
- Dr. Morgan Flamm, DNP, FNP-BC
- Jill Martin, NP
- Brianna Darnell
- Carly Wirick, RN, APRN, AGACNP-BC
Mailing Address
Po Box 3988
Carbondale, IL 629023988
Phone: 6184575200