1. Home
  2. Directory
  3. Illinois
  4. Tuscola
  5. Nurse Practitioner
  6. NPI Profile

KACI HELFRICH APRN
NPI 1295418218
Nurse Practitioner - Family in Tuscola, IL

Active since August 08, 2023PECOS EnrolledAccepts Medicare Assignment
1100 TUSCOLA BLVD, TUSCOLA, IL 61953(217) 253-2020(217) 253-4886 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 14, 2024, Jul 18, 2024, Aug 8, 2023 (3 updates tracked since 2023).

About Kaci Helfrich Aprn NPPES

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

KACI HELFRICH APRN (NPI 1295418218) is an individual family provider in Tuscola, Illinois, licensed in Illinois (209.027992) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and maintains a secondary practice location in Arcola.

NPPES Registry Identity

NPI1295418218
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKACI HELFRICHCredential: APRN
Location Address1100 TUSCOLA BLVDTuscola, IL 61953-2065
Mailing AddressPo Box 372Mattoon, IL 61938-0372 · Fax (217) 258-2216
Phone(217) 253-2020
Fax(217) 253-4886
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 8, 2023
Last NPPES UpdateNovember 14, 20243 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
✔ NPI 1295418218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.027992
1100 TUSCOLA BLVD, Tuscola, IL 61953
Open in Google Maps ↗

Other Names 1

Former Name (1)Kaci Williams

Secondary Practice Location 1

Location 1241 W Springfield RdArcola, IL 61910-1202 · Phone (217) 268-4444 · Fax (217) 268-3098

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Kaci Helfrich Aprn 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 ID7113373911
PECOS Enrollment IDI20231031001992
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 Reassignment

Medicare enrollment records show Kaci Helfrich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sarah Bush Lincoln Health Center
21 mi
Family Medicine
1000 HEALTH CENTER DR
Mattoon, IL 61938
  • Reassigned Medicare billing, Illinois enrollment
  • 652 clinicians in this Medicare group
NPI 1568581379 (217) 258-2525

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 3

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 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.
100 services59 patients
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.
58 services48 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61953 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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALISON S RAY APRN
Nurse Practitioner (Family)
1100 TUSCOLA BLVD
TUSCOLA, IL 61953
Douglas County (217) 253-4764
KAITLIN COLTHARP PA-C
Physician Assistant
1100 TUSCOLA BLVD
TUSCOLA, IL 61953
Douglas County (217) 253-4764
KIMBERLY B WHITAKER M.D.
Family Medicine
1100 TUSCOLA BLVD, SBL TUSCOLA CLINIC
TUSCOLA, IL 61953
Douglas County (217) 253-2020

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 Kaci Helfrich's NPI number?

The NPI number for Kaci Helfrich is 1295418218. It was assigned to this individual provider in the NPPES registry on August 8, 2023. The provider is also known as Kaci Williams.

Where is Kaci Helfrich located?

Kaci Helfrich practices at 1100 Tuscola Blvd, Tuscola, IL 61953. The listed phone number is (217) 253-2020.

What is Kaci Helfrich's specialty?

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

Is Kaci Helfrich enrolled in Medicare?

Yes. Kaci Helfrich 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 organization bills Medicare for Kaci Helfrich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaci Helfrich reassigns Medicare benefits to Sarah Bush Lincoln Health Center (Mattoon, IL). The 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 Kaci Helfrich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaci Helfrich accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kaci Helfrich 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 Kaci Helfrich affiliated with any hospitals?

According to CMS data, Kaci Helfrich is affiliated with Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Kaci Helfrich was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.