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MRS. PATRICIA E CARR FNP
NPI 1104822568
Nurse Practitioner - Family in Sullivan, IL

Active since June 21, 2005PECOS Enrolled
1220 W JACKSON ST, SULLIVAN, IL 61951(217) 728-2042(217) 728-2485 Get Directions Write a Review

NPPES record last updated: September 16, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Patricia E Carr Fnp NPPES

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

MRS. PATRICIA E CARR FNP (NPI 1104822568) is an individual family provider in Sullivan, Illinois, licensed in Illinois (209003187) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104822568
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. PATRICIA E CARRCredential: FNP
Location Address1220 W JACKSON STSullivan, IL 61951-1032
Mailing Address2300 N Edward St, GsbllDecatur, IL 62526-4163 · (217) 876-2857 · Fax (217) 876-2874
Phone(217) 728-2042
Fax(217) 728-2485
Sole ProprietorNo
Enumeration DateJune 21, 2005
Last NPPES UpdateSeptember 16, 2014
✔ NPI 1104822568 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 · 209003187
1220 W JACKSON ST, Sullivan, IL 61951
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Patricia E Carr Fnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Patricia Carr reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
650 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois enrollment
  • 712 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61951 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 2

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

MOHAMMAD TABATABAEI P.A.-C
Physician Assistant
1220 W JACKSON ST
SULLIVAN, IL 61951
Moultrie County (217) 728-2042
DECATUR MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
1220 W JACKSON ST
SULLIVAN, IL 61951
Moultrie County (217) 728-2042

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 Patricia Carr's NPI number?

The NPI number for Patricia Carr is 1104822568. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Patricia Carr located?

Patricia Carr practices at 1220 W Jackson St, Sullivan, IL 61951. The listed phone number is (217) 728-2042.

What is Patricia Carr's specialty?

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

Is Patricia Carr enrolled in Medicare?

Yes. Patricia Carr is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Patricia Carr's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Carr reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Patricia Carr's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Patricia Carr was last updated on September 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.