KATHY LIEFER (NURSE PRACTITIONER) – Nurse Practitioner, NPI 1013439777

KATHY LIEFER (NURSE PRACTITIONER) is a healthcare provider. based in O fallon, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 209015891 (IL). The NPI Number for KATHY LIEFER (NURSE PRACTITIONER) is 1013439777

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KATHY LIEFER (NURSE PRACTITIONER)
NPI
1013439777
Phone
(618) 641-5803
Address
3 Saint Elizabeth Blvd
Enumeration Date
13 July 2017
Last Update Date
24 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182576220
Graduation Year
2016 (10 years ago)
PAC ID
3870865116
Group Practice PAC ID
6800784083
Professional Enrollment ID
I20170821002126
Address ID
IL622265360BE4500XDRXX300
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness95
Years active:8State licenses:1Other names

11,637 NURSE PRACTITIONER in IL

Provider Addresses for KATHY LIEFER (NURSE PRACTITIONER)

  • 3 Saint Elizabeth Blvd

    O Fallon, IL 622691099

    Phone: (618) 641-5803

    Type: Location

  • The North Campus Healthcare

    1300 North Market Street

    Sparta, IL 62286

    Phone: (618) 443-4138

    Fax: (618) 443-3327

    Type: Location

  • PO BOX 959203

    SAINT LOUIS, MO 631959203

    Phone: (618) 222-1020

    Fax: (618) 222-1039

    Type: Mailing

  • 4600 MEMORIAL DR STE 120

    BELLEVILLE, IL 622265359

    Phone: (618) 222-1020

    Fax: (618) 222-1039

    Type: Location

  • 3 SAINT ELIZABETH BLVD STE 5000

    O FALLON, IL 622691099

    Phone: (618) 641-5803

    Type: Mailing

  • 3 SAINT ELIZABETH BLVD

    O FALLON, IL 622691099

    Phone: (618) 641-5803

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $532.

Total Amount is formed as General ($532) + Research ($0) + Ownership ($0) = $532.

Last reported payment date: 2024-03-14 • Largest payer in this snapshot: Janssen Biotech, Inc. ($267).

Total Amount

$532

General + Research + Ownership

Payments

13

Total payment records

General Amount

$532

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-08-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170821002126INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4940$0
99213Established patient office or other outpatient visit, 20-29 minutes3933$0
99215Established patient office or other outpatient visit, 40-54 minutes3027$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 62269)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800784083View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantIL
Family PracticeIL
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
G A S T R O E N T E R O L O G YGA
Physician AssistantIL
-MO
Gastroenterology, Gastroenterology, Internal MedicineOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for KATHY LIEFER (NURSE PRACTITIONER)?
KATHY LIEFER (NURSE PRACTITIONER) — NPI 1013439777 — is the standard way to identify this listing.
Is KATHY LIEFER (NURSE PRACTITIONER) still practicing?
KATHY LIEFER (NURSE PRACTITIONER) is currently listed as active in the public NPI registry.
What is KATHY LIEFER (NURSE PRACTITIONER)'s specialty?
The listing groups KATHY LIEFER (NURSE PRACTITIONER) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KATHY LIEFER (NURSE PRACTITIONER) list a practice location?
Patients near O Fallon, Illinois may find KATHY LIEFER (NURSE PRACTITIONER) in results; validate coverage separately.
Why does KATHY LIEFER (NURSE PRACTITIONER) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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