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CHELSEA CAYE PUGH
NPI 1356078646
Nurse Practitioner - Family in Mattoon, IL

Active since August 05, 2022PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
1000 HEALTH CENTER DR STE 201, MATTOON, IL 61938(172) 584-0302(217) 258-2353 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2024, Sep 20, 2022, Aug 5, 2022 (3 updates tracked since 2022).

About Chelsea Caye Pugh NPPES

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

CHELSEA CAYE PUGH (NPI 1356078646) is an individual family provider in Mattoon, Illinois, licensed in Illinois (209025369) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356078646
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHELSEA CAYE PUGH
Location Address1000 HEALTH CENTER DR STE 201Mattoon, IL 61938-4639
Mailing AddressPo Box 372Mattoon, IL 61938-0372
Phone(172) 584-0302
Fax(217) 258-2353
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 5, 2022
Last NPPES UpdateMay 28, 20243 updates tracked since enumeration
NPPES CertifiedMay 28, 2024
✔ NPI 1356078646 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 · 209025369
1000 HEALTH CENTER DR STE 201, Mattoon, IL 61938
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1301 E Southline RdTuscola, IL 61953-2014 · Phone (217) 253-5231 · Fax (217) 253-4082
Location 2200 N La Salle St Ste 1550Chicago, IL 60601-1034 · Phone (888) 660-4425

Accepted Insurance

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

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

Chelsea Caye Pugh 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 ID2860877347
PECOS Enrollment IDI20220920001299
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 8

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
339 services107 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
47 services17 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
38 services31 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
19 services17 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
17 services15 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
15 services11 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 61938 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

RICK MILLER D.O.
Obstetrics & Gynecology
1000 HEALTH CENTER DR STE 201
MATTOON, IL 61938
Coles County (217) 258-4030
ALLYSON ANDERSON CRNA
Nurse Anesthetist, Certified Registered
1000 HEALTH CENTER DR STE 201
MATTOON, IL 61938
Coles County (217) 258-2525
DR. SCOTT E MEYER MD
Obstetrics & Gynecology
1000 HEALTH CENTER DR STE 201
MATTOON, IL 61938
Coles County (217) 258-4030
KELLEY L GREWELL APRN
Nurse Practitioner (Family)
1000 HEALTH CENTER DR STE 201
MATTOON, IL 61938
Coles County (217) 258-4030
CASSIE GREEN RN
Advanced Practice Midwife
1000 HEALTH CENTER DR STE 201
MATTOON, IL 61938
Coles County (217) 258-4030
DR. CARLOS RAFAEL SIERRA-RODRIGUEZ M.D.
Obstetrics & Gynecology
1000 HEALTH CENTER DR STE 201
MATTOON, IL 61938
Coles County (217) 258-4030
LESLIE A TAGGART APN
Nurse Practitioner
1000 HEALTH CENTER DR STE 201
MATTOON, IL 61938
Coles County (217) 258-4030

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 Chelsea Pugh's NPI number?

The NPI number for Chelsea Pugh is 1356078646. It was assigned to this individual provider in the NPPES registry on August 5, 2022.

Where is Chelsea Pugh located?

Chelsea Pugh practices at 1000 Health Center Dr Ste 201, Mattoon, IL 61938. The listed phone number is (172) 584-0302.

What is Chelsea Pugh's specialty?

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

Is Chelsea Pugh enrolled in Medicare?

Yes. Chelsea Pugh 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.

What insurance does Chelsea Pugh accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Chelsea Pugh 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 Chelsea Pugh affiliated with any hospitals?

According to CMS data, Chelsea Pugh is affiliated with Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Chelsea Pugh was last updated on May 28, 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.