STEPHEN WESTHAFER
NPI 1093550436
Nurse Practitioner - Family in Canton, IL

Q: What is Stephen Westhafer's NPI number?

The NPI number for Stephen Westhafer is 1093550436. It was assigned to this individual provider in the NPPES registry on June 27, 2024.

Q: What is Stephen Westhafer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stephen Westhafer was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 27, 2024PECOS EnrolledAccepts Medicare Assignment

180 S MAIN ST, CANTON, IL 61520(309) 647-0201 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 4, 2024, Jun 27, 2024 (2 updates tracked since 2024).

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About Stephen Westhafer NPPES

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

STEPHEN WESTHAFER (NPI 1093550436) is an individual family provider in Canton, Illinois, licensed in Illinois (209030043) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1093550436

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameSTEPHEN WESTHAFER

Location Address180 S MAIN STCanton, IL 61520-2608

Mailing Address180 S Main StCanton, IL 61520-2608

Phone(309) 647-0201

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 27, 2024

Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2024

✔ NPI 1093550436 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 · 209030043

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

180 S MAIN ST, Canton, IL 61520

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Accepted Insurance

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

Stephen Westhafer 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 ID6800327107

PECOS Enrollment IDI20240926003455

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.

Medicare Billing Reassignments

Medicare enrollment records show Stephen Westhafer reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Graham Hospital Association

Same address

Rural Health

180 S MAIN ST
Canton, IL 61520

Reassigned Medicare billing, Illinois enrollment
134 clinicians in this Medicare group

NPI 1205072626 (309) 647-0201

Epss LLC - Central Series

15 mi

Emergency Medicine

600 S 13TH ST
Pekin, IL 61554

Reassigned Medicare billing, Illinois enrollment
92 clinicians in this Medicare group

NPI 1538680467 (817) 451-4208

Methodist Medical Center Of Illinois

21 mi

Family Medicine

120 NE GLEN OAK AVE, SUITE 101
Peoria, IL 61603

Reassigned Medicare billing, Illinois enrollment
Also billed through NPI 1265966048 (Illinois)
693 clinicians in this Medicare group

NPI 1184670663 (309) 671-8230

Epss Peoria LLC

23 mi

Emergency Medicine

5409 N KNOXVILLE AVE, ER DEPARTMENT
Peoria, IL 61614

Reassigned Medicare billing, Illinois enrollment
90 clinicians in this Medicare group

NPI 1831421056 (309) 689-8603

Carle Health Medical Group

94 mi

Internal Medicine

611 W PARK ST
Urbana, IL 61801

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Carle Health Care Incorporated
2,516 clinicians in this Medicare group

NPI 1154653947 (217) 383-8300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

35 services35 patients

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.

32 services32 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.

25 services25 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Graham Hospital Association

Acute Care Hospitals · Canton, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140001

Location210 West Walnut StreetCanton, IL 61520 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61520 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.

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