OrganizationActive
Staten Family Practice PLLC
NPI 1407474083 · Clinic/Center · Gillespie, IL
Staten Family Practice PLLC is a Clinic/Center organization in Gillespie, IL (NPI 1407474083).
Provider details
- NPI number
- 1407474083
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rosemary Staten, Aprn(217) 851-5270
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 W Virginia Ave
Gillespie, IL 62033-1025
Phone: (217) 851-5270
Street-level locationGet directions
Mailing address
500 W Virginia Ave
Gillespie, IL 62033-1025
Other names (DBA / former)
- Other name
- Staten Family Practice PLLC
Registry dates
- Enumerated
- 2020-07-09
- Last updated
- 2020-07-09
- Certified
- 2020-07-09
Frequently asked questions
- What is Staten Family Practice PLLC's NPI number?
- Staten Family Practice PLLC's National Provider Identifier (NPI) is 1407474083, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Staten Family Practice PLLC?
- Staten Family Practice PLLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Staten Family Practice PLLC located?
- Staten Family Practice PLLC's practice location on file with NPPES is 500 W Virginia Ave, Gillespie, IL 62033-1025.
- What is Staten Family Practice PLLC's phone number?
- The practice phone number listed in the NPPES registry for Staten Family Practice PLLC is (217) 851-5270.
- Who is the authorized official for Staten Family Practice PLLC?
- The authorized official listed on Staten Family Practice PLLC's NPPES record is Rosemary Staten, Aprn. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Staten Family Practice PLLC's NPI active?
- Yes — Staten Family Practice PLLC's NPI (1407474083) is active in the NPPES registry as of the last update on 2020-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.