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NATHANIEL JOHN CRAIG MSN, FNP-BC, APRN
NPI 1205509437
Nurse Practitioner - Family in Normal, IL

Active since July 24, 2021PECOS EnrolledAccepts Medicare Assignment
1304 FRANKLIN AVE STE 380, NORMAL, IL 61761(309) 268-5130 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nathaniel John Craig Msn, Fnp-bc, Aprn NPPES

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

NATHANIEL JOHN CRAIG MSN, FNP-BC, APRN (NPI 1205509437) is an individual family provider in Normal, Illinois, licensed in Illinois (209023621) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1205509437
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameNATHANIEL JOHN CRAIGCredential: MSN, FNP-BC, APRN
Location Address1304 FRANKLIN AVE STE 380Normal, IL 61761-3558
Mailing Address611 W Park St, FapcUrbana, IL 61801-2500
Phone(309) 268-5130
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 24, 2021
Last NPPES UpdateFebruary 28, 2024
NPPES CertifiedFebruary 27, 2024
✔ NPI 1205509437 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 · 209023621
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 209.023621 (IL)
1304 FRANKLIN AVE STE 380, Normal, IL 61761
Open in Google Maps ↗

Secondary Practice Location 1

Location 13525 N University StPeoria, IL 61604-1324 · Phone (855) 476-5837

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Nathaniel John Craig Msn, Fnp-bc, Aprn 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 ID8123424579
PECOS Enrollment IDI20210909002506
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 Nathaniel Craig 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
0.1 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
Osf Multi-Specialty Group
41 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050
Carle Health Medical Group
49 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300

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 5

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
80 services77 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
78 services77 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
53 services51 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.
47 services47 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140127
Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61761 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 10

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

ASHRAF ABDELJABER M.D
Hospitalist
1304 FRANKLIN AVE STE 380
NORMAL, IL 61761
McLean County (309) 268-3598
KAILEY RENAE SCOTT PA-C
Physician Assistant
1304 FRANKLIN AVE STE 380
NORMAL, IL 61761
McLean County (309) 454-1400
AARON K. FRAILEY N.P.
Nurse Practitioner (Family)
1304 FRANKLIN AVE STE 380
NORMAL, IL 61761
McLean County (309) 268-5130
ROSS DAVID PERCELL DO
Emergency Medicine
1304 FRANKLIN AVE STE 380
NORMAL, IL 61761
McLean County (309) 268-5130
DR. JORDAN ANCELL ROSENBERG DO
Emergency Medicine
1304 FRANKLIN AVE STE 380
NORMAL, IL 61761
McLean County (309) 268-5130
ISAAC TUDOR DO
Emergency Medicine
1304 FRANKLIN AVE STE 380
NORMAL, IL 61761
McLean County (309) 268-5130
DEBORAH TRIMBLE MD
Emergency Medicine
1304 FRANKLIN AVE STE 380
NORMAL, IL 61761
McLean County (309) 268-5130
BENJAMIN RIEGLE D.O.
Emergency Medicine
1304 FRANKLIN AVE STE 380
NORMAL, IL 61761
McLean County (309) 268-5130

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 Nathaniel Craig's NPI number?

The NPI number for Nathaniel Craig is 1205509437. It was assigned to this individual provider in the NPPES registry on July 24, 2021.

Where is Nathaniel Craig located?

Nathaniel Craig practices at 1304 Franklin Ave Ste 380, Normal, IL 61761. The listed phone number is (309) 268-5130.

What is Nathaniel Craig's specialty?

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

Is Nathaniel Craig enrolled in Medicare?

Yes. Nathaniel Craig 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 Nathaniel Craig's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel Craig reassigns Medicare benefits to 3 organizations: Carle West Physician Group Inc (Normal, IL), Osf Multi-Specialty Group (Peoria, IL) and Carle Health Medical Group (Urbana, 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 Nathaniel Craig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathaniel Craig accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Nathaniel Craig 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.

Is Nathaniel Craig affiliated with any hospitals?

According to CMS data, Nathaniel Craig is affiliated with Carle Bromenn Medical Center.

When was this NPI record last updated?

The NPPES record for Nathaniel Craig was last updated on February 28, 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.