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JUSTIN C REAVLEY
NPI 1295506491
Student in an Organized Health Care Education/Training Program in Edwardsville, IL

Active since January 16, 2024PECOS EnrolledAccepts Medicare Assignment
6 HAIRPIN DR, EDWARDSVILLE, IL 62026(618) 650-5688 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Justin C Reavley NPPES

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

JUSTIN C REAVLEY (NPI 1295506491) is an individual student in an organized health care education/training program in Edwardsville, Illinois and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1295506491
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN C REAVLEY
Location Address6 HAIRPIN DREdwardsville, IL 62026-1000
Mailing Address6 Hairpin Dr., Campus Box 1066Edwardsville, IL 62026-1000 · (618) 650-5688
Phone(618) 650-5688
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateJanuary 16, 2024
NPPES CertifiedJune 13, 2023
✔ NPI 1295506491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6 HAIRPIN DR, Edwardsville, IL 62026
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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

Justin C Reavley 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 ID3072087402
PECOS Enrollment IDI20260707001512
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 Justin Reavley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carle Health Medical Group
133 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Proctor Hospital

Acute Care Hospitals · Peoria, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140013
Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County
Emergency services

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

Other Providers at the Same Location NPPES 17

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

COLTON PHILLIP BUTLER RN
Nurse Anesthetist, Certified Registered
6 HAIRPIN DR
EDWARDSVILLE, IL 62026
Madison County (618) 650-3956
ROBERT WRIGHT MSN, RN, CMSRN
Registered Nurse
6 HAIRPIN DR
EDWARDSVILLE, IL 62026
Madison County (314) 578-9802
VESSELA MILADINOVA MPH, BSN, RN
Student in an Organized Health Care Education/Training Program
6 HAIRPIN DR
EDWARDSVILLE, IL 62026
Madison County (618) 650-3956
KAITLIN SWEENEY
Student in an Organized Health Care Education/Training Program
6 HAIRPIN DR
EDWARDSVILLE, IL 62026
Madison County (618) 650-3956
MR. ETHAN ASHLIN FIELD RN
Student in an Organized Health Care Education/Training Program
6 HAIRPIN DR
EDWARDSVILLE, IL 62026
Madison County (618) 650-3705
ROBERT J ELSTON
Student in an Organized Health Care Education/Training Program
6 HAIRPIN DR
EDWARDSVILLE, IL 62026
Madison County (618) 650-5688
VANESSA RIGGS RN-BSN
Registered Nurse (College Health)
6 HAIRPIN DR
EDWARDSVILLE, IL 62026
Madison County (309) 242-2877
DAMIEN CHAN RN
Student in an Organized Health Care Education/Training Program
6 HAIRPIN DR
EDWARDSVILLE, IL 62026
Madison County (618) 650-3956

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 Justin Reavley's NPI number?

The NPI number for Justin Reavley is 1295506491. It was assigned to this individual provider in the NPPES registry on January 16, 2024.

Where is Justin Reavley located?

Justin Reavley practices at 6 Hairpin Dr, Edwardsville, IL 62026. The listed phone number is (618) 650-5688.

What is Justin Reavley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Justin Reavley enrolled in Medicare?

Yes. Justin Reavley 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 Justin Reavley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Reavley reassigns Medicare benefits to Carle Health Medical Group (Urbana, 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 Justin Reavley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Justin Reavley affiliated with any hospitals?

According to CMS data, Justin Reavley is affiliated with Proctor Hospital and Methodist Medical Center Of Illinois.

When was this NPI record last updated?

The NPPES record for Justin Reavley was last updated on January 16, 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.