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MISTY DAWN WERNSMAN FNP
NPI 1144771692
Nurse Practitioner - Family in Centralia, IL

Active since October 19, 2016PECOS EnrolledAccepts Medicare Assignment
1052 M L KING DR STE 2, CENTRALIA, IL 62801(618) 436-5410(618) 436-8063 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 15, 2026, Dec 30, 2020, Oct 19, 2016 (3 updates tracked since 2016).

About Misty Dawn Wernsman Fnp NPPES

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

MISTY DAWN WERNSMAN FNP (NPI 1144771692) is an individual family provider in Centralia, Illinois, licensed in Illinois (209014985) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144771692
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISTY DAWN WERNSMANCredential: FNP
Location Address1052 M L KING DR STE 2Centralia, IL 62801-3002
Mailing AddressPo Box 25228Decatur, IL 62525-5228 · (217) 329-3232 · Fax (217) 233-1670
Phone(618) 436-5410
Fax(618) 436-8063
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 19, 2016
Last NPPES UpdateApril 15, 20263 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1144771692 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 · 209014985
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 209014985 (IL)
1052 M L KING DR STE 2, Centralia, IL 62801
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15 Good Samaritan WayMount Vernon, IL 62864-2402 · Phone (618) 899-1264
Location 21 Good Samaritan WayMount Vernon, IL 62864-2402 · Phone (618) 242-4600

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

Misty Dawn Wernsman Fnp 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 ID5395024301
PECOS Enrollment IDI20161115002180
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

3

Medicare enrollment records show Misty Wernsman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physician Services Corporation Of Southern Illinois Inc.
35 mi
Internal Medicine
4218 LINCOLNSHIRE DR
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 296 clinicians in this Medicare group
NPI 1831101807 (618) 899-3600
Good Samaritan Regional Health Center
35 mi
Emergency Medicine
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 284 clinicians in this Medicare group
NPI 1487758801 (618) 899-4600
Cancer Care Specialists Of Central Illinois, S.C.
76 mi
Medical Oncology
210 W MCKINLEY AVE, SUITE 1
Decatur, IL 62526
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Cancer Care Specialists Of Central Illinois Sc
  • 36 clinicians in this Medicare group
NPI 1871580142 (217) 876-6600

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 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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
382 services88 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
29 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Fairfield Memorial Hospital 1

Critical Access Hospitals · Fairfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141311
Location303 N W 11th StreetFairfield, IL 62837 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62801 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.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wheelchair accessory, tray, each E0950
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$86.61 avg. paid by Medicare
Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot E0954
DME-Wheelchairs · category DD021N
2 suppliers12 claims17 services$50.15 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier103 claims103 services$13.88 avg. paid by Medicare
Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware E0960
DME-Wheelchairs · category DD021N
2 suppliers19 claims19 services$67.74 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
2 suppliers13 claims26 services$41.91 avg. paid by Medicare
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each E0973
DME-Wheelchairs · category DD021N
2 suppliers13 claims26 services$95.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Misty Wernsman's NPI number?

The NPI number for Misty Wernsman is 1144771692. It was assigned to this individual provider in the NPPES registry on October 19, 2016.

Where is Misty Wernsman located?

Misty Wernsman practices at 1052 M L King Dr Ste 2, Centralia, IL 62801. The listed phone number is (618) 436-5410.

What is Misty Wernsman's specialty?

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

Is Misty Wernsman enrolled in Medicare?

Yes. Misty Wernsman 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.

Which organizations bill Medicare for Misty Wernsman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Misty Wernsman reassigns Medicare benefits to 3 organizations: Physician Services Corporation Of Southern Illinois Inc. (Mount Vernon, IL), Good Samaritan Regional Health Center (Mount Vernon, IL) and Cancer Care Specialists Of Central Illinois, S.C. (Decatur, IL). Each 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 Misty Wernsman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Misty Wernsman affiliated with any hospitals?

According to CMS data, Misty Wernsman is affiliated with Ssm Health St Mary's Hospital -Centralia, Good Samaritan Regional Hlth Center and Fairfield Memorial Hospital 1.

When was this NPI record last updated?

The NPPES record for Misty Wernsman was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.