BENJAMIN NEWELL WINDHAM APRN
NPI 1104478932
Nurse Practitioner - Family in Rantoul, IL

Active since July 11, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1540 E GROVE AVE, RANTOUL, IL 61866(217) 893-7700 Get Directions Write a Review

NPPES record last updated: December 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 24, 2024, Nov 19, 2024, Jul 11, 2019 (3 updates tracked since 2019).

About Benjamin Newell Windham Aprn NPPES

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

BENJAMIN NEWELL WINDHAM APRN (NPI 1104478932) is an individual family provider in Rantoul, Illinois, licensed in Illinois (209030250) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104478932
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBENJAMIN NEWELL WINDHAMCredential: APRN
Location Address1540 E GROVE AVERantoul, IL 61866-2736
Mailing Address611 W Park, FapcUrbana, IL 61802 · (217) 902-6954 · Fax (217) 902-7711
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 11, 2019
Last NPPES UpdateDecember 24, 20243 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
NPI 1104478932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209030250
1540 E GROVE AVE, Rantoul, IL 61866

Secondary Practice Locations 2

Location 1303 Medical Center DrBatesville, MS 38606-8608 · Phone (662) 563-5611
Location 21801 W Windsor RdChampaign, IL 61822-6217 · Phone (217) 366-8130

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

Benjamin Newell Windham Aprn 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 ID8820421852
PECOS Enrollment IDI20241204001784
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 2

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 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.
89 services86 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.
89 services86 patients

Hospital Affiliations CMS Care Compare

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61866 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost93.34

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
1540 E GROVE AVE
RANTOUL, IL 61866
Family Medicine
1540 E GROVE AVE
RANTOUL, IL 61866
Nurse Practitioner
1540 E GROVE AVE
RANTOUL, IL 61866
Nurse Practitioner (Family)
1540 E GROVE AVE
RANTOUL, IL 61866
Family Medicine
1540 E GROVE AVE
RANTOUL, IL 61866
Occupational Therapist
1540 E GROVE AVE
RANTOUL, IL 61866
Durable Medical Equipment & Medical Supplies
1540 E GROVE AVE
RANTOUL, IL 61866

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 Benjamin Windham's NPI number?

The NPI number for Benjamin Windham is 1104478932. It was assigned to this individual provider in the NPPES registry on July 11, 2019.

Where is Benjamin Windham located?

Benjamin Windham practices at 1540 E Grove Ave, Rantoul, IL 61866. The listed phone number is (217) 893-7700.

What is Benjamin Windham's specialty?

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

Is Benjamin Windham enrolled in Medicare?

Yes. Benjamin Windham 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 Benjamin Windham affiliated with any hospitals?

According to CMS data, Benjamin Windham is affiliated with Carle Foundation Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Windham was last updated on December 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.