MRS. JODIE VAUGHN APN
NPI 1073065140
Nurse Practitioner - Family in Gibson City, IL

Q: What is Jodie Vaughn's NPI number?

The NPI number for Jodie Vaughn is 1073065140. It was assigned to this individual provider in the NPPES registry on October 25, 2016.

Q: What is Jodie Vaughn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jodie Vaughn was last updated on August 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 25, 2016PECOS EnrolledAccepts Medicare Assignment

81.01/100

CMS Quality Rating

1120 N MELVIN ST, GIBSON CITY, IL 60936(217) 784-2258(217) 874-2321 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 11, 2020, Oct 25, 2016 (2 updates tracked since 2016).

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About Mrs. Jodie Vaughn Apn NPPES

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

MRS. JODIE VAUGHN APN (NPI 1073065140) is an individual family provider in Gibson City, Illinois, licensed in Illinois (209015012) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Gibson Community Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1073065140

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JODIE VAUGHNCredential: APN

Location Address1120 N MELVIN STGibson City, IL 60936-1477

Mailing Address1120 N Melvin StGibson City, IL 60936-1477 · (217) 379-4864

Phone(217) 784-2258

Fax(217) 874-2321

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 25, 2016

Last NPPES UpdateAugust 11, 20202 updates tracked since enumeration

NPPES CertifiedAugust 11, 2020

✔ NPI 1073065140 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 · 209015012

1120 N MELVIN ST, Gibson City, IL 60936

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Other Identifiers 1

OtherOTH000IL · Upin

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

Mrs. Jodie Vaughn Apn 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 ID5890079651

PECOS Enrollment IDI20170223001227

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gibson Community Hospital

Critical Access Hospitals · Gibson City, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141317

Location1120 N Melvin StreetGibson City, IL 60936 · Ford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60936 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.37

Improvement Activities

Cost

28.38

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Other Providers at the Same Location NPPES 20

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

MALCOLM TAYLOR ATC

Specialist/Technologist (Athletic Trainer)