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JAMIE R PRUITT NP
NPI 1134439177
Nurse Practitioner in Urbana, IL

Active since October 08, 2010PECOS EnrolledAccepts Medicare Assignment
611 W. PARK ST., OB/GYN, URBANA, IL 61801(217) 383-3140(217) 383-4966 Get Directions Write a Review

NPPES record last updated: May 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jamie R Pruitt Np NPPES

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

JAMIE R PRUITT NP (NPI 1134439177) is an individual nurse practitioner in Urbana, Illinois, licensed in Illinois (209008322) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1134439177
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJAMIE R PRUITTCredential: NP
Location Address611 W. PARK ST., OB/GYNUrbana, IL 61801-2500
Mailing Address611 W. Park St., BwpcUrbana, IL 61801-2500 · (217) 383-6792 · Fax (217) 383-4752
Phone(217) 383-3140
Fax(217) 383-4966
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 8, 2010
Last NPPES UpdateMay 9, 2014
✔ NPI 1134439177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209008322
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.
611 W. PARK ST., Urbana, IL 61801
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Other Names 1

Former Name (1)Jamie M Rayburn Pruitt Np

Other Identifiers 2

Medicare NSC6447860011IL
Medicare PINT00415IL

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

Jamie R Pruitt Np 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 ID5890976955
PECOS Enrollment IDI20110222000910
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.

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 61801 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.

JOSELYN JOSEPH MD
Internal Medicine
611 W. PARK ST., HOSPITALIST
URBANA, IL 61801
Champaign County (217) 383-3129
LAUREN RUBARTS OT
Occupational Therapist
611 W. PARK ST.
URBANA, IL 61801
Champaign County (217) 383-3400
CHRISTINE PRINCE CRNA
Nurse Anesthetist, Certified Registered
611 W. PARK ST., ANESTHESIOLOGY
URBANA, IL 61801
Champaign County (217) 383-3141
LENA MARIE CLEMENTS CRNA
Nurse Anesthetist, Certified Registered
611 W. PARK ST., ANESTHESIOLOGY
URBANA, IL 61801
Champaign County (217) 383-3303
BENJAMIN J RHEE MD
Internal Medicine (Clinical Cardiac Electrophysiology)
611 W. PARK ST., CARDIOLOGY
URBANA, IL 61801
Champaign County (217) 904-7000
REBECCA A WAGNER MD
Obstetrics & Gynecology
611 W. PARK ST., OB/GYN
URBANA, IL 61801
Champaign County (217) 383-3140
HOSHANG IRANI PA
Physician Assistant
611 W. PARK ST.
URBANA, IL 61801
Champaign County (217) 383-3313
AUBREY N. HUDSON PA
Physician Assistant
611 W. PARK ST., OB/GYN
URBANA, IL 61801
Champaign County (217) 383-3140

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 Jamie Pruitt's NPI number?

The NPI number for Jamie Pruitt is 1134439177. It was assigned to this individual provider in the NPPES registry on October 8, 2010. The provider is also known as Jamie M Rayburn Pruitt Np.

Where is Jamie Pruitt located?

Jamie Pruitt practices at 611 W. Park St. Ob/Gyn, Urbana, IL 61801. The listed phone number is (217) 383-3140.

What is Jamie Pruitt's specialty?

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

Is Jamie Pruitt enrolled in Medicare?

Yes. Jamie Pruitt 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 Jamie Pruitt affiliated with any hospitals?

According to CMS data, Jamie Pruitt is affiliated with Carle Foundation Hospital.

When was this NPI record last updated?

The NPPES record for Jamie Pruitt was last updated on May 9, 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.