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CARLEY ELIZABETH PROMISSON
NPI 1346016060
Nurse Practitioner - Family in Canton, IL

Active since December 04, 2023PECOS EnrolledAccepts Medicare Assignment
126 N 5TH AVE, CANTON, IL 61520(309) 647-0201 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carley Elizabeth Promisson NPPES

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

CARLEY ELIZABETH PROMISSON (NPI 1346016060) is an individual family provider in Canton, Illinois, licensed in Illinois (209028861) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1346016060
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLEY ELIZABETH PROMISSON
Location Address126 N 5TH AVECanton, IL 61520-2800
Mailing Address180 S Main StCanton, IL 61520-2608 · (309) 647-0201
Phone(309) 647-0201
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 4, 2023
NPPES CertifiedDecember 4, 2023
✔ NPI 1346016060 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 · 209028861
126 N 5TH AVE, Canton, IL 61520
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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

Carley Elizabeth Promisson 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 ID446793046
PECOS Enrollment IDI20240624005075
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.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

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.

Other Providers at the Same Location NPPES 2

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

GRAHAM HOSPITAL ASSOCIATION
Clinic/Center (Urgent Care)
126 N 5TH AVE
CANTON, IL 61520
Fulton County (309) 647-0201
GRAHAM HOSPITAL ASSOCIATION
Clinic/Center (Rural Health)
126 N 5TH AVE
CANTON, IL 61520
Fulton County (309) 647-0201

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 Carley Promisson's NPI number?

The NPI number for Carley Promisson is 1346016060. It was assigned to this individual provider in the NPPES registry on December 4, 2023.

Where is Carley Promisson located?

Carley Promisson practices at 126 N 5th Ave, Canton, IL 61520. The listed phone number is (309) 647-0201.

What is Carley Promisson's specialty?

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

Is Carley Promisson enrolled in Medicare?

Yes. Carley Promisson 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 Carley Promisson affiliated with any hospitals?

According to CMS data, Carley Promisson is affiliated with Graham Hospital Association.

When was this NPI record last updated?

The NPPES record for Carley Promisson was last updated on December 4, 2023. 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.