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

Kathy Liefer, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1013439777

Kathy Liefer, NURSEPRACTITIONER is a Nurse Practitioner in Belleville, Illinois. Qualified in 2016, 10 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

4600 Memorial Dr Ste 120
Belleville, IL 62226-5359
Phone: (618) 222-1020
Fax: (618) 222-1039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 — (618) 641-5803
  • The North Campus Healthcare, Sparta, IL 62286 — (618) 443-4138

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209015891 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209015891 (IL)

Record details

NPI number1013439777
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 13, 2017
Last updated in NPPESDecember 24, 2025
Certification dateDecember 24, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Belleville