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RIVER ANDRES PA
NPI 1093283954
Physician Assistant in Champaign, IL

Active since November 08, 2018PECOS Enrolled
819 BLOOMINGTON RD, CHAMPAIGN, IL 61820(217) 356-1558 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 3, 2020, Nov 8, 2018 (2 updates tracked since 2018).

About River Andres Pa NPPES

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

RIVER ANDRES PA (NPI 1093283954) is an individual physician assistant in Champaign, Illinois, licensed in Illinois (085.006815) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093283954
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRIVER ANDRESCredential: PA
Location Address819 BLOOMINGTON RDChampaign, IL 61820-2101
Mailing Address2106 Georgetown CirChampaign, IL 61821-6422 · (217) 649-6792
Phone(217) 356-1558
Sole ProprietorNo
Enumeration DateNovember 8, 2018
Last NPPES UpdateJanuary 3, 20202 updates tracked since enumeration
✔ NPI 1093283954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085.006815
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
819 BLOOMINGTON RD, Champaign, IL 61820
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Other Names 1

Former Name (1)Caroline Marie Brown

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

River Andres Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 61820 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
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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.

JESSICA LYNN MANDRELL
Nurse Practitioner (Psychiatric/Mental Health)
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (217) 356-1558
DR. CORINNE E KOHLER MD
Family Medicine
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (217) 356-1558
PROMISE HEALTHCARE
Counselor (Mental Health)
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (217) 356-1558
VALERIE CINTRON
Social Worker (Clinical)
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (217) 356-1558
JENNY M. DAAB PNP
Nurse Practitioner (Pediatrics)
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (217) 356-1558
MYOUNGSU SONG
Dentist (General Practice)
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (217) 356-1558
ABDELKRIM HADJ SAID PH. D.
Counselor (Professional)
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (217) 356-1558
JOHN S ANDERSON
Dentist (General Practice)
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Champaign County (217) 403-5477

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 River Andres's NPI number?

The NPI number for River Andres is 1093283954. It was assigned to this individual provider in the NPPES registry on November 8, 2018. The provider is also known as Caroline Marie Brown.

Where is River Andres located?

River Andres practices at 819 Bloomington Rd, Champaign, IL 61820. The listed phone number is (217) 356-1558.

What is River Andres's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is River Andres enrolled in Medicare?

Yes. River Andres is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for River Andres was last updated on January 3, 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.