Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Kara A Shafer , DO

Pediatrics β€’ Springfield, IL

Active NPI 1679192066 Individual Practitioner Female Practitioner
Practice location in NPPES

3132 Old Jacksonville Rd Ste 200
Springfield, IL 627047401

Call 2178620800 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

3132 Old Jacksonville Rd Ste 200

Springfield, IL 627047401

Telephone 2178620800
Fax 2178620202
Organization at the Same NPPES Address or Phone
Memorial Physician Services Facility NPI 1063961936

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

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, β€œDoes your provider accept Medicare as full payment?”

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)

Dr. Shafer 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 Dr. Shafer 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 Springfield and Illinois

108 active clinicians are listed under Pediatrics with a practice address in Springfield, IL (3,178 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

1.9% of these 108 clinicians have the CMS telehealth indicator.

4.6% of these 108 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-11
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES IL 036.164576

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Md License
036.164579 (IL)

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20231023000342

Enrollment State Jurisdiction

IL

PECOS Control ID

5496101859

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.

Clinicians Sharing This Practice Address or Phone

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

28 listed
Morgan Barney , PA-C

Physician Assistant

NPI 1295251239

Physician Assistant (Certified)

Nicole Beard , APN

Nurse Practitioner - Family

NPI 1508569856

Advanced Practice Nurse

Kellie Bibb

Nurse Practitioner - Family

NPI 1699147215
Leona Burnham , FNP-C

Nurse Practitioner - Family

NPI 1487977427

Family Nurse Practitioner (Certified)

Sarah Camacho , PA

Physician Assistant

NPI 1902294754

Physician Assistant

Jennifer Collins , LCSW

Social Worker - Clinical

NPI 1811340672

Licensed Clinical Social Worker

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location October 11, 2023

Registered at 3132 OLD JACKSONVILLE RD STE 200, SPRINGFIELD, IL 627047401 (Tel: 2178620800)

πŸ“
Updated Business Mailing Address October 11, 2023

Registered at 3132 OLD JACKSONVILLE RD STE 200, SPRINGFIELD, IL 627047401 (Tel: 2178620800)

πŸ‘€
Provider Name / Credentials Updated October 11, 2023

Recorded as KARA SHAFER, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2023

Pediatrics (license number reported to NPPES: IL 036.164576)

βœ…
NPI Profile Active April 15, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 15, 2020

Registered at 325 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 376046056 (Tel: 4234397320)

πŸ“
Business Mailing Address (Initial Record) April 15, 2020

Registered at 325 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 376046056

πŸ‘€
Provider Name / Credentials (Initial Record) April 15, 2020

Recorded as KARA SHAFER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 15, 2020

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1679192066
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2020
Last Update: October 11, 2023
Sole Proprietor: No

Other Pediatrics Specialists in Springfield

All Pediatrics Specialists in Springfield

Mailing Address

3132 Old Jacksonville Rd Ste 200

Springfield, IL 627047401

Phone: 2178620800

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.