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NINA MARIE PACHOLEC PHD
NPI 1326302456
Psychologist - Clinical in Springfield, IL

Active since July 03, 2012Opted out of Medicare · through Sep 14, 2026
1224 CENTRE WEST DR STE 400D, SPRINGFIELD, IL 62704(847) 559-0001(847) 559-8438 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nina Marie Pacholec Phd NPPES

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

NINA MARIE PACHOLEC PHD (NPI 1326302456) is an individual clinical provider in Springfield, Illinois, licensed in Illinois (071.010153) and active in the NPI registry since July 2012. She has opted out of Medicare through September 14, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1326302456
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameNINA MARIE PACHOLECCredential: PHD
Location Address1224 CENTRE WEST DR STE 400DSpringfield, IL 62704-2192
Mailing Address1224 Centre West Dr Ste 400dSpringfield, IL 62704-2192 · (847) 559-0001 · Fax (847) 559-8438
Phone(847) 559-0001
Fax(847) 559-8438
Sole ProprietorNo
Enumeration DateJuly 3, 2012
Last NPPES UpdateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
✔ NPI 1326302456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071.010153
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1224 CENTRE WEST DR STE 400D, Springfield, IL 62704
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Nina Marie Pacholec Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 14, 2020 through September 14, 2026.

Opt-Out Effective DateSeptember 14, 2020
Opt-Out In Effect ThroughSeptember 14, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician 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.

New Patient
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
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.

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 Nina Pacholec's NPI number?

The NPI number for Nina Pacholec is 1326302456. It was assigned to this individual provider in the NPPES registry on July 3, 2012.

Where is Nina Pacholec located?

Nina Pacholec practices at 1224 Centre West Dr Ste 400D, Springfield, IL 62704. The listed phone number is (847) 559-0001.

What is Nina Pacholec's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Nina Pacholec enrolled in Medicare?

No. Nina Pacholec has opted out of Medicare through September 14, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Nina Pacholec was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.