GRETCHEN L MAHANEY CALDWELL APN
NPI 1265763163
Nurse Practitioner in Springfield, IL
About Gretchen L Mahaney Caldwell Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRETCHEN L MAHANEY CALDWELL APN (NPI 1265763163) is an individual nurse practitioner in Springfield, Illinois, licensed in Illinois (209007736) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of Southern Illinois University School Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses 2
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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
Gretchen L Mahaney Caldwell Apn 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.
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Anthonys Memorial Hospital
Acute Care Hospitals · Effingham, ILSt Johns Hospital
Acute Care Hospitals · Springfield, ILMc Donough District Hospital
Acute Care Hospitals · Macomb, ILIllini Community Hospital
Critical Access Hospitals · Pittsfield, ILPana Community Hospital
Critical Access Hospitals · Pana, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Gretchen Mahaney Caldwell's NPI number?
The NPI number for Gretchen Mahaney Caldwell is 1265763163. It was assigned to this individual provider in the NPPES registry on January 18, 2010.
Where is Gretchen Mahaney Caldwell located?
Gretchen Mahaney Caldwell practices at 917 Clock Tower Dr Ste 130, Springfield, IL 62704. The listed phone number is (217) 553-9332.
What is Gretchen Mahaney Caldwell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Gretchen Mahaney Caldwell enrolled in Medicare?
Yes. Gretchen Mahaney Caldwell 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 Gretchen Mahaney Caldwell accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Gretchen Mahaney Caldwell 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 Gretchen Mahaney Caldwell affiliated with any hospitals?
According to CMS data, Gretchen Mahaney Caldwell is affiliated with St Anthonys Memorial Hospital, St Johns Hospital, Mc Donough District Hospital, Illini Community Hospital and Pana Community Hospital.
When was this NPI record last updated?
The NPPES record for Gretchen Mahaney Caldwell was last updated on January 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
