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NITA RAUT APN
NPI 1205345949
Nurse Practitioner - Family in Bloomington, IL

Active since September 26, 2017PECOS EnrolledAccepts Medicare Assignment
72.93/100
CMS Quality Rating
3024 E EMPIRE ST STE A, BLOOMINGTON, IL 61704(309) 556-7800(309) 556-7804 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2024, Oct 4, 2023 (2 updates tracked since 2023).

About Nita Raut Apn NPPES

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

NITA RAUT APN (NPI 1205345949) is an individual family provider in Bloomington, Illinois, licensed in Illinois (209016605) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Peoria, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1205345949
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNITA RAUTCredential: APN
Location Address3024 E EMPIRE ST STE ABloomington, IL 61704-5402
Mailing Address3024 E Empire St Ste ABloomington, IL 61704-5402 · (309) 556-7800 · Fax (309) 556-7804
Phone(309) 556-7800
Fax(309) 556-7804
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 26, 2017
Last NPPES UpdateApril 29, 20242 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
✔ NPI 1205345949 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 · 209016605
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209016605 (IL)
3024 E EMPIRE ST STE A, Bloomington, IL 61704
Open in Google Maps ↗

Secondary Practice Location 1

Location 18940 N Wood Sage RdPeoria, IL 61615-7822 · Phone (309) 243-3000 ext. 3610 · Fax (309) 243-3274

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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

Nita Raut Apn 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 ID42578965
PECOS Enrollment IDI20210125001491
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 Nita Raut reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carle West Physician Group Inc
3.8 mi
Family Medicine
1302 FRANKLIN AVE STE 3400
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 698 clinicians in this Medicare group
NPI 1467074138 (309) 556-8295
Carle Health Medical Group
45 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois and North Carolina enrollments
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Grow Healthcare Group PA
1,132 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Illinois and North Carolina enrollments
  • 581 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 10

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.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
81 services53 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
78 services50 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
50 services39 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services34 patients
Ferritin (blood protein) level 82728
A Ferritin level test measures the amount of ferritin, a protein that stores iron, in your blood. It helps determine how much iron your body is storing. If levels are low, it may indicate iron deficiency, while high levels could signify conditions like iron overload.
30 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61704 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.96
Promoting Interoperability86
Improvement Activities40
Cost48.93

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.

ELIZABETH JEANNE IGOE APN
Nurse Practitioner (Psychiatric/Mental Health)
3024 E EMPIRE ST STE A
BLOOMINGTON, IL 61704
McLean County (309) 556-7800
GEORGE MASSEY
Psychiatry & Neurology (Psychiatry)
3024 E EMPIRE ST STE A
BLOOMINGTON, IL 61704
McLean County (309) 556-7800
DR. RACHEL EMILY IMMEN MD
Psychiatry & Neurology (Psychiatry)
3024 E EMPIRE ST STE A
BLOOMINGTON, IL 61704
McLean County (309) 556-7800
DR. PAULA ALLEE-SMITH PHD
Psychologist (Clinical)
3024 E EMPIRE ST STE A
BLOOMINGTON, IL 61704
McLean County (121) 790-2555
KERRIE ARMSTRONG PH.D.
Psychologist
3024 E EMPIRE ST STE A
BLOOMINGTON, IL 61704
McLean County (309) 556-7800

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 Nita Raut's NPI number?

The NPI number for Nita Raut is 1205345949. It was assigned to this individual provider in the NPPES registry on September 26, 2017.

Where is Nita Raut located?

Nita Raut practices at 3024 E Empire St Ste A, Bloomington, IL 61704. The listed phone number is (309) 556-7800.

What is Nita Raut's specialty?

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

Is Nita Raut enrolled in Medicare?

Yes. Nita Raut 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 Nita Raut's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nita Raut reassigns Medicare benefits to 3 organizations: Carle West Physician Group Inc (Normal, IL), Carle Health Medical Group (Urbana, IL) and Grow Healthcare Group PA (Miami, FL). 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 Nita Raut's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nita Raut accept?

Health plans from UnitedHealthcare list Nita Raut 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 Nita Raut was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.