Nurse Practitioner In Glen Carbon Illinois

NPI list of 20 nurse practitioner registered providers with a business address in Glen Carbon, IL of which 3 are registered as organizations and 17 as individuals. (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

NPI Name Type Taxonomy Address Medicare PECOS
1023774015APRIL NOEL OEHLIndividualNurse Practitioner
(Family)
320 DEER RUN LN
GLEN CARBON, IL 62034
(618) 806-4883
Non-Participating ProviderNO
1215481924SAMANTHA ALEXANDRIA COLLINSIndividualNurse Practitioner2 COTTONWOOD RD
GLEN CARBON, IL 62034
(314) 687-2733
Accepts MedicareYES
1255096335AMANDA MARIA HALLIndividualNurse Practitioner
(Family)
7 COUGAR DR APT B
GLEN CARBON, IL 62034
(434) 363-6858
Non-Participating ProviderNO
1255853081LAURIE HOPPERIndividualNurse Practitioner
(Family)
2246 S STATE ROUTE 157 STE 100
GLEN CARBON, IL 62034
(618) 288-9251
Accepts MedicareYES
1285829572KIRBY L KLOSTERMANNIndividualNurse Practitioner2 COTTONWOOD RD
GLEN CARBON, IL 62034
(618) 288-1772
Accepts MedicareYES
1386005635RANDI M HUMMELIndividualNurse Practitioner7124 AUGUSTA DR
GLEN CARBON, IL 62034
(618) 709-0979
Accepts MedicareYES
1417464918STAGES HEALTH & WELLNESS, LLCOrganizationNurse Practitioner
(Psychiatric/Mental Health)
14 CRABAPPLE LANE
GLEN CARBON, IL 62034
(708) 679-4927
Non-Participating ProviderNO
1437610011RESIDENTIAL HOSPICE OF SOUTHERN ILLINOIS, LLC
RESIDENTIAL PALLIATIVE CARE OF SOUTHERN ILLINOIS
OrganizationNurse Practitioner
(Adult Health)
4215 S STATE ROUTE 159
GLEN CARBON, IL 62034
(800) 358-8227
Non-Participating ProviderNO
1437667490SPENCER JOHN MARESIndividualNurse Practitioner
(Family)
19 JUNCTION DR
GLEN CARBON, IL 62034
(618) 655-0990
Non-Participating ProviderYES
1548719651ASHLEY RENEE NOETHIndividualNurse Practitioner
(Family)
4955 S STATE ROUTE 159 SUITE 1
GLEN CARBON, IL 62034
(618) 288-7855
Non-Participating ProviderYES
1609411784ASHLEY TITCHENALIndividualNurse Practitioner
(Primary Care)
3733 S STATE ROUTE 159
GLEN CARBON, IL 62034
(618) 288-8090
Maybe Accepts MedicareYES
1619360070MONIQUE MANDERSONIndividualNurse Practitioner
(Family)
14 CRABAPPLE LN
GLEN CARBON, IL 62034
(618) 801-6677
Accepts MedicareYES
1689097768JACOB DANIEL WENGERTIndividualNurse Practitioner
(Family)
4804 S STATE ROUTE 159 STE 10
GLEN CARBON, IL 62034
(618) 391-5080
Accepts MedicareYES
1689915811JAIME RENEE MENDOZAIndividualNurse Practitioner
(Family)
16 JUNCTION DR W STE 2
GLEN CARBON, IL 62034
(618) 288-5019
Accepts MedicareYES
1699434563TORI ERIN BOYERIndividualNurse Practitioner
(Pediatrics)
2160 S STATE ROUTE 157 STE B
GLEN CARBON, IL 62034
(618) 692-1212
Non-Participating ProviderNO
1730509159JENNIFER THERYIndividualNurse Practitioner
(Psychiatric/Mental Health)
16 JUNCTION DR W STE 2
GLEN CARBON, IL 62034
(618) 288-5019
Accepts MedicareYES
1740787795KALEENA GALLETTAIndividualNurse Practitioner
(Family)
4273 S., IL - 159
GLEN CARBON, IL 62034
(618) 288-2297
Accepts MedicareYES
1790224970TONI LEE OSTMANNIndividualNurse Practitioner
(Family)
17 GINGER CREEK MDWS
GLEN CARBON, IL 62034
(618) 656-9777
Accepts MedicareYES
1922514207PRIMARY HEALTHCARE SOLUTIONS, INCOrganizationNurse Practitioner
(Family)
17 JUNCTION DR # 271
GLEN CARBON, IL 62034
(618) 803-8259
Non-Participating ProviderNO
1972243483STEFANIE VESPERIndividualNurse Practitioner220 EVERGREEN LN UNIT B
GLEN CARBON, IL 62034
(618) 655-0333
Non-Participating ProviderNO

Medicare Participation

  • Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
  • Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
  • Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.

What is PECOS?

PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.