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EMILY S. PRATER LCSW
NPI 1316467426
Social Worker - Clinical in Hillsboro, IL

Active since June 21, 2017PECOS EnrolledAccepts Medicare Assignment
1280 E TREMONT ST, HILLSBORO, IL 62049(217) 528-7541 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 20, 2020, Jul 6, 2017, Jun 21, 2017 (3 updates tracked since 2017).

About Emily S. Prater Lcsw NPPES

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

EMILY S. PRATER LCSW (NPI 1316467426) is an individual clinical provider in Hillsboro, Illinois, licensed in Illinois (149016445) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1316467426
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEMILY S. PRATERCredential: LCSW
Location Address1280 E TREMONT STHillsboro, IL 62049-1912
Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541 · Fax (217) 532-3857
Phone(217) 528-7541
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 21, 2017
Last NPPES UpdateMay 20, 20203 updates tracked since enumeration
NPPES CertifiedMay 20, 2020
✔ NPI 1316467426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149016445
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1280 E TREMONT ST, Hillsboro, IL 62049
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Emily S. Prater Lcsw 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 ID4789955469
PECOS Enrollment IDI20170731001809
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 Emily Prater reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Springfield Clinic LLP
0.1 mi
Rural Health
1280 E TREMONT ST
Hillsboro, IL 62049
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1780638478 (Illinois)
  • 65 clinicians in this Medicare group
NPI 1184982506 (217) 532-2320

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62049 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
$0.00 typical visit price
range $56.28 – $173.35
Typical copayment $0.00 (range $14.07 – $43.33)
Most-billed visit code NA
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
Most-billed visit code 99213
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 9

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

SHILOH M LIPE PA-C
Physician Assistant
1280 E TREMONT ST
HILLSBORO, IL 62049
Montgomery County (217) 528-7541
SPRINGFIELD CLINIC LLP
Clinic/Center (Rural Health)
1280 E TREMONT ST
HILLSBORO, IL 62049
Montgomery County (217) 532-2320
BRIAN J CADY MD
Clinic/Center (Rural Health)
1280 E TREMONT ST
HILLSBORO, IL 62049
Montgomery County (217) 532-2320
MEGAN LYNNE TUETKEN
Nurse Practitioner (Family)
1280 E TREMONT ST
HILLSBORO, IL 62049
Montgomery County (217) 528-7541
SARAH ELIZABETH WHITE FNP-BC
Nurse Practitioner (Family)
1280 E TREMONT ST
HILLSBORO, IL 62049
Montgomery County (217) 528-7541
SPRINGFIELD CLINIC HILLSBORO WEST LAB
Clinical Medical Laboratory
1280 E TREMONT ST
HILLSBORO, IL 62049
Montgomery County (217) 532-2320
TAYLER ALEXIS SHELTON MD
Family Medicine
1280 E TREMONT ST
HILLSBORO, IL 62049
Montgomery County (217) 532-2320
DR. BENJAMIN WARE CADY M.D.
Family Medicine
1280 E TREMONT ST
HILLSBORO, IL 62049
Montgomery County (217) 532-2320

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 Emily Prater's NPI number?

The NPI number for Emily Prater is 1316467426. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Where is Emily Prater located?

Emily Prater practices at 1280 E Tremont St, Hillsboro, IL 62049. The listed phone number is (217) 528-7541.

What is Emily Prater's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Emily Prater enrolled in Medicare?

Yes. Emily Prater 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 Emily Prater's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Prater reassigns Medicare benefits to Springfield Clinic LLP (Hillsboro, 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 Emily Prater's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Prater accept?

Health plans from Oscar Health list Emily Prater 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.

When was this NPI record last updated?

The NPPES record for Emily Prater was last updated on May 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.