MRS. JODIE VAUGHN APN
NPI 1073065140
Nurse Practitioner - Family in Gibson City, IL
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
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Jodie Vaughn reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gibson City, IL 60936
- Reassigned Medicare billing, Illinois enrollment
- 201 clinicians in this Medicare group
Oak Brook, IL 60523
- Reassigned Medicare billing, Illinois enrollment
- 67 clinicians in this Medicare group
Chicago, IL 60611
- Reassigned Medicare billing, Illinois enrollment
- 59 clinicians in this Medicare group
Skokie, IL 60076
- Reassigned Medicare billing, Illinois enrollment
- 491 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ILPhysician 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.
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.
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.
GIBSON CITY, IL 60936
GIBSON CITY, IL 60936
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 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.
Where is Jodie Vaughn located?
Jodie Vaughn practices at 1120 N Melvin St, Gibson City, IL 60936. The listed phone number is (217) 784-2258.
What is Jodie Vaughn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jodie Vaughn enrolled in Medicare?
Yes. Jodie Vaughn 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.
Which organizations bill Medicare for Jodie Vaughn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jodie Vaughn reassigns Medicare benefits to 4 organizations: Gibson Community Hospital Association (Gibson City, IL), Applebaum Physiatry PLLC (Oak Brook, IL), Radial Health Sc (Chicago, IL) and Vitae Health Medical Illinois, PLLC (Skokie, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jodie Vaughn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jodie Vaughn affiliated with any hospitals?
According to CMS data, Jodie Vaughn is affiliated with Gibson Community Hospital.
When was this NPI record last updated?
The NPPES record for Jodie Vaughn was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Jodie Vaughn, APN · NPI 1073065140
Family physician in Gibson City, Illinois. Individual provider, active in the CMS NPPES registry since October 25, 2016.
## Identity
- **NPI:** 1073065140 (Entity type: Individual)
- **Enumerated:** October 25, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209015012 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1120 N MELVIN ST, Gibson City, IL 60936-1477
- **Phone:** (217) 784-2258 · **Fax:** (217) 874-2321
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Gibson Community Hospital Association (NPI 1043813454, Gibson City, IL); Applebaum Physiatry PLLC (NPI 1700598059, Oak Brook, IL); Radial Health Sc (NPI 1215954185, Chicago, IL); Vitae Health Medical Illinois, PLLC (NPI 1174013452, Skokie, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** August 11, 2020
- **Other identifiers:** Other OTH000 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1073065140) · Data from the CMS NPPES public registry.