MEREDITH FLEMING
NPI 1215333604
Nurse Practitioner - Family in Springfield, IL

Active since November 12, 2014PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
619 E MASON ST, SUITE 4P57, SPRINGFIELD, IL 62701(217) 788-0706(217) 525-2535 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 21, 2021, May 20, 2019, Apr 18, 2017 (3 updates tracked since 2017).

About Meredith Fleming NPPES

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

MEREDITH FLEMING (NPI 1215333604) is an individual family provider in Springfield, Illinois, licensed in Illinois (209012172) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1215333604
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMEREDITH FLEMING
Location Address619 E MASON ST, SUITE 4P57Springfield, IL 62701-1034
Mailing Address619 E Mason St, Suite 4p57Springfield, IL 62701-1034 · (217) 788-0706 · Fax (217) 525-2535
Fax(217) 525-2535
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 12, 2014
Last NPPES UpdateDecember 21, 20213 updates tracked since enumeration
NPPES CertifiedDecember 21, 2021
NPI 1215333604 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 · 209012172
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 209.012172 (IL)
619 E MASON ST, Springfield, IL 62701

Other Identifiers 1

OtherP01443040IL · Railroad

Accepted Insurance

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

Meredith Fleming 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 ID5294058368
PECOS Enrollment IDI20141222000244
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.

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.

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.
413 services313 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.
87 services75 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 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.
14 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Mc Donough District Hospital

Acute Care Hospitals · Macomb, IL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number140089
Location525 East Grant StreetMacomb, IL 61455 · Mc Donough County
Emergency services Birthing friendly

Sarah D Culbertson Memorial Hospital

Critical Access Hospitals · Rushville, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141333
Location238 South Congress StreetRushville, IL 62681 · Schuyler County
Emergency services

Fayette County Hospital

Critical Access Hospitals · Vandalia, IL
OwnershipVoluntary non-profit - Other
CMS Certification Number141346
Location650 W Taylor StVandalia, IL 62471 · Fayette County
Emergency services

St Francis Hospital

Critical Access Hospitals · Litchfield, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141350
Location1215 Franciscan DrLitchfield, IL 62056 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62701 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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
619 E MASON ST, SUITE 3P25
SPRINGFIELD, IL 62701
Specialist
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Internal Medicine (Interventional Cardiology)
619 E MASON ST
SPRINGFIELD, IL 62701
Internal Medicine (Interventional Cardiology)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Specialist
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Nurse Practitioner (Adult Health)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Nurse Practitioner (Adult Health)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Physician Assistant
619 E MASON ST
SPRINGFIELD, IL 62701

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 Meredith Fleming's NPI number?

The NPI number for Meredith Fleming is 1215333604. It was assigned to this individual provider in the NPPES registry on November 12, 2014.

Where is Meredith Fleming located?

Meredith Fleming practices at 619 E Mason St Suite 4p57, Springfield, IL 62701. The listed phone number is (217) 788-0706.

What is Meredith Fleming's specialty?

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

Is Meredith Fleming enrolled in Medicare?

Yes. Meredith Fleming 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.

What insurance does Meredith Fleming accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Meredith Fleming 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 Meredith Fleming affiliated with any hospitals?

According to CMS data, Meredith Fleming is affiliated with St Johns Hospital, Mc Donough District Hospital, Sarah D Culbertson Memorial Hospital, Fayette County Hospital and St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Meredith Fleming was last updated on December 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.