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GAYLIN MANION FNP
NPI 1023497591
Nurse Practitioner - Family in Shiloh, IL

Active since May 29, 2015PECOS EnrolledAccepts Medicare Assignment
1167 FORTUNE BLVD, SHILOH, IL 62269(618) 207-6900(618) 207-6901 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2023, Mar 29, 2017 (2 updates tracked since 2017).

About Gaylin Manion Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAYLIN MANION FNP (NPI 1023497591) is an individual family provider in Shiloh, Illinois, licensed in Illinois (209012822) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1023497591
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGAYLIN MANIONCredential: FNP
Location Address1167 FORTUNE BLVDShiloh, IL 62269-7377
Mailing AddressPo Box 419059Saint Louis, MO 63141-9059 · (618) 207-6900 · Fax (618) 207-6901
Phone(618) 207-6900
Fax(618) 207-6901
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 29, 2015
Last NPPES UpdateFebruary 2, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
✔ NPI 1023497591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209012822
1167 FORTUNE BLVD, Shiloh, IL 62269
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gaylin Manion Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810201027
PECOS Enrollment IDI20150731016691
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
186 services117 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
159 services115 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services40 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
26 services22 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
23 services23 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAURA ANN CRANDALL D.O.
Internal Medicine
1167 FORTUNE BLVD
SHILOH, IL 62269
St. Clair County (618) 207-6900
ENGLISH AND MCLAUGHLIN, P.C.
Internal Medicine
1167 FORTUNE BLVD
SHILOH, IL 62269
St. Clair County (618) 207-6900
KAYLA J MCCARTHY ANP
Nurse Practitioner (Adult Health)
1167 FORTUNE BLVD
SHILOH, IL 62269
St. Clair County (618) 207-6900
SOPHIA ALMA SCHUBERT AGNP-C
Nurse Practitioner (Gerontology)
1167 FORTUNE BLVD
SHILOH, IL 62269
St. Clair County (618) 207-6900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gaylin Manion's NPI number?

The NPI number for Gaylin Manion is 1023497591. It was assigned to this individual provider in the NPPES registry on May 29, 2015.

Where is Gaylin Manion located?

Gaylin Manion practices at 1167 Fortune Blvd, Shiloh, IL 62269. The listed phone number is (618) 207-6900.

What is Gaylin Manion's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gaylin Manion enrolled in Medicare?

Yes. Gaylin Manion is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gaylin Manion accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Gaylin Manion as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gaylin Manion was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.