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CHARMAINE ROBERTSON STONER
NPI 1235484510
Social Worker - Clinical in Decatur, IL

Active since July 23, 2012PECOS EnrolledAccepts Medicare Assignment
2 NE CARROLL DR, DECATUR, IL 62526(708) 522-8840 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 8, 2024, Aug 11, 2022 (2 updates tracked since 2022).

About Charmaine Robertson Stoner NPPES

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

CHARMAINE ROBERTSON STONER (NPI 1235484510) is an individual clinical provider in Decatur, Illinois, licensed in Illinois (149.015698) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1235484510
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCHARMAINE ROBERTSON STONER
Location Address2 NE CARROLL DRDecatur, IL 62526-1968
Mailing Address1510 W Ottawa RdPaxton, IL 60957-4090
Phone(708) 522-8840
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 23, 2012
Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2024
✔ NPI 1235484510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.015698
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2 NE CARROLL DR, Decatur, IL 62526
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Accepted Insurance

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

Charmaine Robertson Stoner 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 ID8022253996
PECOS Enrollment IDI20130325000314
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

2

Medicare enrollment records show Charmaine Robertson Stoner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health Improvement Center
1.4 mi
Federally Qualified Health Center (FQHC)
2300 N EDWARD ST
Decatur, IL 62526
  • Reassigned Medicare billing, Illinois enrollment
  • 27 clinicians in this Medicare group
NPI 1518384213 (217) 877-9117
Grow Healthcare Group PA
1,097 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Illinois enrollment
  • 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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 Charmaine Robertson Stoner's NPI number?

The NPI number for Charmaine Robertson Stoner is 1235484510. It was assigned to this individual provider in the NPPES registry on July 23, 2012.

Where is Charmaine Robertson Stoner located?

Charmaine Robertson Stoner practices at 2 NE Carroll Dr, Decatur, IL 62526. The listed phone number is (708) 522-8840.

What is Charmaine Robertson Stoner's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Charmaine Robertson Stoner enrolled in Medicare?

Yes. Charmaine Robertson Stoner 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 Charmaine Robertson Stoner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charmaine Robertson Stoner reassigns Medicare benefits to 2 organizations: Community Health Improvement Center (Decatur, 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 Charmaine Robertson Stoner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charmaine Robertson Stoner accept?

Health plans from Cigna Healthcare list Charmaine Robertson Stoner 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 Charmaine Robertson Stoner was last updated on February 8, 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.