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Active NPI 1376417253 Individual Practitioner Female Practitioner

Stefanie Poettker

Nurse Practitioner • Herrin, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stefanie Poettker is a certified Nurse Practitioner practicing in Herrin, IL. With approximately 5 years of clinical experience since completing medical education in 2021, Stefanie Poettker delivers high-quality medical care to the local community at 510 LINCOLN DR.

Stefanie Poettker is affiliated with Southern Orthopedic Associates Sc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

510 Lincoln Dr

Herrin, IL 629486334

Telephone 6189976800
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Herrin, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -3.1 yrs vs City Avg
City Avg: 8.1 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
32 Specialists

Practicing in Herrin, IL (4929 Statewide)

Telehealth Adoption Rate
18.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Poettker (5 Years) 5 Yrs
Herrin Specialty Average (8.1 Years) 8.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-03
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209.033426

(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.

Hospital & Practice Group Affiliations

Southern Orthopedic Associates Sc

510 Lincoln Dr, Herrin, IL 629486334

Phone: 6189976800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
John Nugent , PA-C

Physician Assistant

NPI 1033224654

Physician Assistant (Certified)

Dr. John Davis , MD

Orthopaedic Surgery

NPI 1063436756

Doctor of Medicine (M.D.)

Dr. James Davis , MD

Orthopaedic Surgery

NPI 1063516797

Doctor of Medicine (M.D.)

Jared Jones

Physical Therapist

NPI 1093486011
Dr. John Wood , MD

Orthopaedic Surgery

NPI 1154425882

Doctor of Medicine (M.D.)

Hollis Clark , PA-C

Physician Assistant

NPI 1154659894

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 02, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2025

Registered at 510 LINCOLN DR, HERRIN, IL 629486334 (Tel: 6189976800)

📍
Updated Business Mailing Address October 02, 2025

Registered at 15487 E TOLLE RD, MOUNT VERNON, IL 628648364 (Tel: 6182042344)

👤
Provider Name / Credentials Updated October 02, 2025

Recorded as STEFANIE POETTKER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2025

Nurse Practitioner (License #209.033426 in IL)

🟢
Initial NPI Registration & Enumeration October 02, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376417253
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2025
Last Update: October 02, 2025
Sole Proprietor: No

Mailing Address

15487 E Tolle Rd

Mount Vernon, IL 628648364

Phone: 6182042344

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.