BETHANY RENEE STONE
NPI 1093280901
Nurse Practitioner - Family in Effingham, IL

Active since October 06, 2018PECOS EnrolledAccepts Medicare Assignment
503 N MAPLE ST, EFFINGHAM, IL 62401(217) 347-1211 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2025, Dec 9, 2024, Oct 26, 2018 and 2 more (5 updates tracked since 2018).

About Bethany Renee Stone NPPES

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

BETHANY RENEE STONE (NPI 1093280901) is an individual family provider in Effingham, Illinois, licensed in Illinois (209.018389) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093280901
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBETHANY RENEE STONE
Location Address503 N MAPLE STEffingham, IL 62401-2006
Mailing Address503 N Maple StEffingham, IL 62401-2006 · (217) 347-1211
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 6, 2018
Last NPPES UpdateNovember 7, 20255 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
NPI 1093280901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209.018389
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209.018389 (IL)
503 N MAPLE ST, Effingham, IL 62401

Secondary Practice Locations 2

Location 1601 W Washington StNewton, IL 62448-1264 · Phone (618) 783-0954
Location 21000 Health Center DrMattoon, IL 61938-4644 · Phone (217) 258-2551 · Fax (217) 258-2256

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

Bethany Renee Stone 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 ID6709130446
PECOS Enrollment IDI20181114003558
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
381 services338 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
152 services136 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
79 services76 patients
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.
39 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients

Hospital Affiliations CMS Care Compare 2

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62401 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.

Emergency Medicine
503 N MAPLE ST
EFFINGHAM, IL 62401
Occupational Therapist
503 N MAPLE ST
EFFINGHAM, IL 62401
Emergency Medicine
503 N MAPLE ST
EFFINGHAM, IL 62401
Hospitalist
503 N MAPLE ST
EFFINGHAM, IL 62401
Nurse Anesthetist, Certified Registered
503 N MAPLE ST
EFFINGHAM, IL 62401
Hospitalist
503 N MAPLE ST
EFFINGHAM, IL 62401
General Acute Care Hospital
503 N MAPLE ST
EFFINGHAM, IL 62401
Nurse Practitioner
503 N MAPLE ST
EFFINGHAM, IL 62401

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 Bethany Stone's NPI number?

The NPI number for Bethany Stone is 1093280901. It was assigned to this individual provider in the NPPES registry on October 6, 2018.

Where is Bethany Stone located?

Bethany Stone practices at 503 N Maple St, Effingham, IL 62401. The listed phone number is (217) 347-1211.

What is Bethany Stone's specialty?

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

Is Bethany Stone enrolled in Medicare?

Yes. Bethany Stone 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.

Is Bethany Stone affiliated with any hospitals?

According to CMS data, Bethany Stone is affiliated with St Anthonys Memorial Hospital and Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Bethany Stone was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.