KAILEEN BANASZAK GAUMER
NPI 1093402984
Counselor - Professional in Dixon, IL
About Kaileen Banaszak Gaumer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAILEEN BANASZAK GAUMER (NPI 1093402984) is an individual professional provider in Dixon, Illinois, licensed in Illinois (178.005831) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Kaileen Banaszak Gaumer 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 Reassignment
Medicare enrollment records show Kaileen Gaumer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DIXON, IL 61021
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 Kaileen Gaumer's NPI number?
The NPI number for Kaileen Gaumer is 1093402984. It was assigned to this individual provider in the NPPES registry on April 20, 2023.
Where is Kaileen Gaumer located?
Kaileen Gaumer practices at 629 N Galena Ave Ste 120, Dixon, IL 61021. The listed phone number is (815) 288-1235.
What is Kaileen Gaumer's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kaileen Gaumer enrolled in Medicare?
Yes. Kaileen Gaumer 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 organization bills Medicare for Kaileen Gaumer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaileen Gaumer reassigns Medicare benefits to Vitae Health Medical Illinois, PLLC (Skokie, IL). The 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 Kaileen Gaumer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kaileen Gaumer accept?
Health plans from Oscar Health list Kaileen Gaumer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kaileen Gaumer was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kaileen Banaszak Gaumer · NPI 1093402984
Professional provider in Dixon, Illinois. Individual provider, active in the CMS NPPES registry since April 20, 2023.
## Identity
- **NPI:** 1093402984 (Entity type: Individual)
- **Enumerated:** April 20, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 178.005831 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 629 N GALENA AVE STE 120, Dixon, IL 61021-1664
- **Phone:** (815) 288-1235
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Vitae Health Medical Illinois, PLLC (NPI 1174013452, Skokie, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** April 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1093402984) · Data from the CMS NPPES public registry.