STEPHANIE BARNES APN
NPI 1265890685
Nurse Practitioner in Canton, IL

Active since January 29, 2016PECOS EnrolledAccepts Medicare Assignment
180 S MAIN ST, CANTON, IL 61520(309) 647-0201(309) 649-6880 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2021, Nov 18, 2019, Jan 29, 2016 (3 updates tracked since 2016).

About Stephanie Barnes Apn NPPES

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

STEPHANIE BARNES APN (NPI 1265890685) is an individual nurse practitioner in Canton, Illinois, licensed in Illinois (209013826) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1265890685
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTEPHANIE BARNESCredential: APN
Location Address180 S MAIN STCanton, IL 61520-2608
Mailing Address180 S Main StCanton, IL 61520-2608 · (309) 647-0201 · Fax (309) 649-5302
Fax(309) 649-6880
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 29, 2016
Last NPPES UpdateApril 13, 20213 updates tracked since enumeration
NPPES CertifiedApril 13, 2021
NPI 1265890685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209013826
Definition

(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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209013826 (IL)
180 S MAIN ST, Canton, IL 61520

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

Stephanie Barnes 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.

PECOS PAC ID941506265
PECOS Enrollment IDI20160314001055
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

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 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Graham Hospital Association

Acute Care Hospitals · Canton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140001
Location210 West Walnut StreetCanton, IL 61520 · Fulton 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

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

Mason District Hospital

Critical Access Hospitals · Havana, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141313
Location615 North Promenade Street,p O Box 530Havana, IL 62644 · Mason County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61520 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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers27 claims41 services$5.93 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$19.35 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers37 claims37 services$5.02 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers25 claims25 services$103.41 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$35.36 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
2 suppliers15 claims870 services$6.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Audiologist
180 S MAIN ST
CANTON, IL 61520
Family Medicine
180 S MAIN ST
CANTON, IL 61520
Internal Medicine
180 S MAIN ST
CANTON, IL 61520
Nurse Practitioner (Family)
180 S MAIN ST
CANTON, IL 61520
Nurse Practitioner
180 S MAIN ST
CANTON, IL 61520
Nurse Practitioner (Family)
180 S MAIN ST
CANTON, IL 61520
Physician Assistant
180 S MAIN ST
CANTON, IL 61520
Family Medicine
180 S MAIN ST
CANTON, IL 61520

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 Stephanie Barnes's NPI number?

The NPI number for Stephanie Barnes is 1265890685. It was assigned to this individual provider in the NPPES registry on January 29, 2016.

Where is Stephanie Barnes located?

Stephanie Barnes practices at 180 S Main St, Canton, IL 61520. The listed phone number is (309) 647-0201.

What is Stephanie Barnes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Stephanie Barnes enrolled in Medicare?

Yes. Stephanie Barnes 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.

Is Stephanie Barnes affiliated with any hospitals?

According to CMS data, Stephanie Barnes is affiliated with Graham Hospital Association, Mc Donough District Hospital, Methodist Medical Center Of Illinois and Mason District Hospital.

When was this NPI record last updated?

The NPPES record for Stephanie Barnes was last updated on April 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.