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HEATHER E SMITH
NPI 1255814935
Nurse Practitioner - Family in Mattoon, IL

Active since September 10, 2018PECOS Enrolled
91.8/100
CMS Quality Rating
1000 HEALTH CENTER DR, MATTOON, IL 61938(217) 255-4150(217) 258-2579 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2024, Oct 4, 2023, May 24, 2021 and 3 more (6 updates tracked since 2018).

About Heather E Smith NPPES

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

HEATHER E SMITH (NPI 1255814935) is an individual family provider in Mattoon, Illinois, licensed in Illinois (209-018045) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Effingham.

NPPES Registry Identity

NPI1255814935
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER E SMITH
Location Address1000 HEALTH CENTER DRMattoon, IL 61938-4644
Mailing AddressPo Box 372, Attn Insurance CredentialingMattoon, IL 61938-0372
Phone(217) 255-4150
Fax(217) 258-2579
Sole ProprietorNo
Enumeration DateSeptember 10, 2018
Last NPPES UpdateMarch 4, 20246 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
✔ NPI 1255814935 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 · 209-018045
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209.018045 (IL)
1000 HEALTH CENTER DR, Mattoon, IL 61938
Open in Google Maps ↗

Other Names 1

Former Name (1)Heather Behl

Secondary Practice Location 1

Location 1901 Medical Park Dr Ste 201Effingham, IL 62401-2191 · Phone (217) 342-7500 · Fax (217) 342-7499

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather E Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 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.

91.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
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.

DR. DOMINIC PERRINO D.O.
Hospitalist
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 238-4325
VINCENT P CAGUNGUN RN
Nurse Anesthetist, Certified Registered
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-4006
ELLIE BUENING OTR/L
Occupational Therapist
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-2530
DR. ALEXIS AYONOTE M.D.
Internal Medicine (Gastroenterology)
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-4155
MICHAEL JOHN ATKINSON MPAS, PA-C, ATC
Physician Assistant
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 238-4960
JOHN ROGERS MD
Internal Medicine
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 238-4325
JOSEPH BURTON D.O.
Emergency Medicine
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-2551
ROBERT BLOOD M.D.
Anesthesiology
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-2440

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 Heather Smith's NPI number?

The NPI number for Heather Smith is 1255814935. It was assigned to this individual provider in the NPPES registry on September 10, 2018. The provider is also known as Heather Behl.

Where is Heather Smith located?

Heather Smith practices at 1000 Health Center Dr, Mattoon, IL 61938. The listed phone number is (217) 255-4150.

What is Heather Smith's specialty?

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

Is Heather Smith enrolled in Medicare?

Yes. Heather Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Heather Smith was last updated on March 4, 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.