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EMMA RAY ENGEL PMHNP
NPI 1225235195
Clinical Nurse Specialist - Psychiatric/Mental Health in Lawrenceville, IL

Active since July 02, 2007PECOS EnrolledAccepts Medicare Assignment
11741 SIZEMORE LN, LAWRENCEVILLE, IL 62439(812) 881-5468 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 2, 2025, Jul 23, 2024, Apr 25, 2024 and 6 more (9 updates tracked since 2017).

About Emma Ray Engel Pmhnp NPPES

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

EMMA RAY ENGEL PMHNP (NPI 1225235195) is an individual psychiatric/mental health provider in Lawrenceville, Illinois, licensed in Illinois (277002801) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1225235195
Entity TypeIndividualFemale
Primary Taxonomy364SP0808X
Provider Legal NameEMMA RAY ENGELCredential: PMHNP
Location Address11741 SIZEMORE LNLawrenceville, IL 62439-4469
Mailing Address11741 Sizemore LnLawrenceville, IL 62439-4469 · (812) 316-2419 · Fax (216) 249-9013
Phone(812) 881-5468
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 2, 2007
Last NPPES UpdateJuly 2, 20259 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1225235195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0808X
License✔ Licensed in IL · 277002801
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209018425 (IL)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 71003062A (IN), 277002801 (IL)
Also ListedClinical Nurse SpecialistTaxonomy 364S00000X · License PENDING (IN)
11741 SIZEMORE LN, Lawrenceville, IL 62439
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Other Identifiers 1

Medicaid201091780IN

Accepted Insurance

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

Emma Ray Engel Pmhnp 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 ID9931231727
PECOS Enrollment IDI20190508001582
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

5

Medicare enrollment records show Emma Engel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Lawrence Health Department
3.6 mi
Community/Behavioral Health
2101 JAMES ST
Lawrenceville, IL 62439
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group
NPI 1528298015 (618) 943-3302
Aspire Indiana Health Inc.
107 mi
Federally Qualified Health Center (FQHC)
201 SHELBY ST RM 101103
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 204 clinicians in this Medicare group
NPI 1487268413 (317) 574-1254
Aspire Indiana Inc.
118 mi
Mental Health (Including Community Mental Health Center)
697 PRO MED LN
Carmel, IN 46032
  • Reassigned Medicare billing, Indiana enrollment
  • 187 clinicians in this Medicare group
NPI 1124016050 (317) 574-1254
Arrowleaf
126 mi
Mental Health (Including Community Mental Health Center)
125 NORTH MARKET STREET
Golconda, IL 62938
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1538114608 (618) 683-2461
Ultacare Medical PLLC
276 mi
Family Medicine
606 N BROAD ST
New Tazewell, TN 37825
  • Reassigned Medicare billing, Illinois enrollment
  • 10 clinicians in this Medicare group
NPI 1225141492 (423) 259-5002

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 6

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 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.
67 services23 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
66 services26 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.
46 services18 patients
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.
45 services15 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
16 services16 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62439 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
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.

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 Emma Engel's NPI number?

The NPI number for Emma Engel is 1225235195. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Emma Engel located?

Emma Engel practices at 11741 Sizemore Ln, Lawrenceville, IL 62439. The listed phone number is (812) 881-5468.

What is Emma Engel's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

Is Emma Engel enrolled in Medicare?

Yes. Emma Engel 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 Emma Engel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emma Engel reassigns Medicare benefits to 5 organizations: County Of Lawrence Health Department (Lawrenceville, IL), Aspire Indiana Health Inc. (Indianapolis, IN), Aspire Indiana Inc. (Carmel, IN), Arrowleaf (Golconda, IL) and Ultacare Medical PLLC (New Tazewell, TN). 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 Emma Engel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emma Engel accept?

Health plans from CareSource list Emma Engel 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 Emma Engel was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.