Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katherine E. Hersberger

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1144843459

Katherine E. Hersberger is a Physician Assistant in Carbondale, Illinois. Qualified in 2021, 5 years ago. Practices with Observation Physicians of Tidewater, a 19-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

710 S Illinois Ave Apt 217
Carbondale, IL 62901-2959
Phone: (317) 590-9678
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1144843459
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 20, 2020
Last updated in NPPESMay 20, 2020
Certification dateMay 20, 2020
Mailing address710 S Illinois Ave Apt 217, Carbondale, IL 62901-2959

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Observation Physicians Of Tidewater — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Carbondale