STEPHENSON GUT VITALITY & HEALTH PLLC
NPI 1184573784
Nurse Practitioner - Family in Champaign, IL

Q: What is Stephenson Gut Vitality & Health PLLC's specialty?

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

Active since January 26, 2026

64 E CHESTER ST STE 106, CHAMPAIGN, IL 61820(217) 778-2188(888) 252-7228 Get Directions Write a Review

NPPES record last updated: May 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 3, 2026, Apr 5, 2026, Mar 21, 2026 and 2 more (5 updates tracked since 2026).

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About Stephenson Gut Vitality & Health Pllc NPPES

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

STEPHENSON GUT VITALITY & HEALTH PLLC (NPI 1184573784) is a healthcare organization registered as a family in Champaign, Illinois and active in the NPI registry since January 2026. The organization lists Emily Stephenson, Aprn, as its authorized official.

NPPES Registry Identity

NPI1184573784

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameSTEPHENSON GUT VITALITY & HEALTH PLLC

Location Address64 E CHESTER ST STE 106Champaign, IL 61820-4116

Mailing AddressPo Box 43Mahomet, IL 61853-0043 · (217) 778-2188 · Fax (888) 252-7228

Phone(217) 778-2188

Fax(888) 252-7228

Organization SubpartNo

Authorized OfficialEmily StephensonAprn · (217) 778-2188

Enumeration DateJanuary 26, 2026

Last NPPES UpdateMay 3, 20265 updates tracked since enumeration

NPPES CertifiedMay 3, 2026

✔ NPI 1184573784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedNutritionistTaxonomy 133N00000X

Also ListedHealth and Wellness CoachTaxonomy 171400000X

Also ListedIntegrative MedicineTaxonomy 202D00000X

64 E CHESTER ST STE 106, Champaign, IL 61820

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephenson Gut Vitality & Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stephenson Gut Vitality & Health PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Emily Stephenson, FNP

Nurse Practitioner

NPI 1003541962

64 E CHESTER ST STE 106
Champaign, IL 61820

(217) 778-2188

✔ PECOSSame address

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

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 Stephenson Gut Vitality & Health PLLC's NPI number?

The NPI number for Stephenson Gut Vitality & Health PLLC is 1184573784. It was assigned to this organization in the NPPES registry on January 26, 2026.

Where is Stephenson Gut Vitality & Health PLLC located?

Stephenson Gut Vitality & Health PLLC is located at 64 E Chester St Ste 106, Champaign, IL 61820. The listed phone number is (217) 778-2188.

What is Stephenson Gut Vitality & Health PLLC's specialty?

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

Is Stephenson Gut Vitality & Health PLLC enrolled in Medicare?

Yes. Stephenson Gut Vitality & Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stephenson Gut Vitality & Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Stephenson Gut Vitality & Health PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stephenson Gut Vitality & Health PLLC was last updated on May 3, 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.