MR. CHRISTOPHER M DOLAK AGNP-C
NPI 1073323200
Nurse Practitioner - Adult Health in Springfield, IL

Q: What is Christopher Dolak's NPI number?

The NPI number for Christopher Dolak is 1073323200. It was assigned to this individual provider in the NPPES registry on January 9, 2025.

Q: What is Christopher Dolak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Christopher Dolak was last updated on January 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 09, 2025PECOS EnrolledAccepts Medicare Assignment

2501 CHATHAM RD STE N, SPRINGFIELD, IL 62704(815) 781-2608 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Christopher M Dolak Agnp-c NPPES

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

MR. CHRISTOPHER M DOLAK AGNP-C (NPI 1073323200) is an individual adult health provider in Springfield, Illinois, licensed in Illinois (209-031384) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1073323200

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameMR. CHRISTOPHER M DOLAKCredential: AGNP-C

Location Address2501 CHATHAM RD STE NSpringfield, IL 62704-4188

Mailing Address1721 W Hollow StMchenry, IL 60051-7545 · (224) 650-9237

Phone(815) 781-2608

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 9, 2025

NPPES CertifiedJanuary 9, 2025

✔ NPI 1073323200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in IL · 209-031384

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 209-031384 (IL)

2501 CHATHAM RD STE N, Springfield, IL 62704

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Mr. Christopher M Dolak Agnp-c 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 ID5496271553

PECOS Enrollment IDI20250501001075

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62704 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.

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.

GAGAN KLER LCSW

Social Worker (Clinical)