Stefanie Poettker
NPI 1376417253ActiveIndividual· Nurse Practitioner· Centralia, IL
Nurse Practitioner with Southern Orthopedic Associates SC, practicing in Centralia, Illinois. Enrolled in Medicare as practitioner - nurse practitioner. Lists Herrin Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1376417253 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 2, 2025 |
| Last updated in NPPES | Sep 21, 2026 |
| Certified by provider | Sep 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209.033426 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Southern Orthopedic Associates SCCarbondale, IL · 30 clinicians
Hospital affiliations
- Herrin HospitalHerrin, IL
- Memorial Hospital of CarbondaleCarbondale, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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