CHANCIE WARREN PMHNP
NPI 1104636539
Nurse Practitioner in Effingham, IL

Active since January 08, 2025PECOS EnrolledAccepts Medicare Assignment
900 W TEMPLE AVE STE 1500, EFFINGHAM, IL 62401(217) 347-0458 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2025, Feb 13, 2025, Jan 8, 2025 (3 updates tracked since 2025).

About Chancie Warren Pmhnp NPPES

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

CHANCIE WARREN PMHNP (NPI 1104636539) is an individual nurse practitioner in Effingham, Illinois, licensed in Illinois (209031536) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104636539
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCHANCIE WARRENCredential: PMHNP
Location Address900 W TEMPLE AVE STE 1500Effingham, IL 62401-2121
Mailing Address900 W Temple Ave Ste 1500Effingham, IL 62401-2121 · (217) 347-0458
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 8, 2025
Last NPPES UpdateMarch 5, 20253 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
NPI 1104636539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209031536
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 041417657 (IL)
900 W TEMPLE AVE STE 1500, Effingham, IL 62401

Other Names 1

Former Name (1)Chancie Warren

Accepted Insurance

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

Chancie Warren Pmhnp 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 ID6406377159
PECOS Enrollment IDI20250311000199
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 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 5

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

Nurse Practitioner (Family)
900 W TEMPLE AVE STE 1500
EFFINGHAM, IL 62401
Registered Nurse (Psychiatric/Mental Health)
900 W TEMPLE AVE STE 1500
EFFINGHAM, IL 62401
Clinic/Center (Rural Health)
900 W TEMPLE AVE STE 1500
EFFINGHAM, IL 62401
Family Medicine
900 W TEMPLE AVE STE 1500
EFFINGHAM, IL 62401
Nurse Practitioner
900 W TEMPLE AVE STE 1500
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 Chancie Warren's NPI number?

The NPI number for Chancie Warren is 1104636539. It was assigned to this individual provider in the NPPES registry on January 8, 2025.

Where is Chancie Warren located?

Chancie Warren practices at 900 W Temple Ave Ste 1500, Effingham, IL 62401. The listed phone number is (217) 347-0458.

What is Chancie Warren's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Chancie Warren enrolled in Medicare?

Yes. Chancie Warren 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.

What insurance does Chancie Warren accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Chancie Warren 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 Chancie Warren was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.