OrganizationActive
Staten Family Practice PLLC
NPI 1407474083 · Clinic/Center · Gillespie, IL
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
5 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.