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DR. KATHLEEN A. HECKSEL M.D.
NPI 1366647679
Psychiatry & Neurology - Psychiatry in Charleston, IL

Active since June 18, 2007PECOS Enrolled
91.8/100
CMS Quality Rating
700 W LINCOLN AVE STE 200, CHARLESTON, IL 61920(217) 238-4866(217) 238-4868 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 9, 2024, Sep 24, 2018 (2 updates tracked since 2018).

About Dr. Kathleen A. Hecksel M.d. NPPES

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

DR. KATHLEEN A. HECKSEL M.D. (NPI 1366647679) is an individual psychiatry provider in Charleston, Illinois, licensed in Illinois (036-130472) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366647679
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. KATHLEEN A. HECKSELCredential: M.D.
Location Address700 W LINCOLN AVE STE 200Charleston, IL 61920-2468
Mailing AddressPo Box 372Mattoon, IL 61938-0372
Phone(217) 238-4866
Fax(217) 238-4868
Sole ProprietorNo
Enumeration DateJune 18, 2007
Last NPPES UpdateAugust 9, 20242 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
✔ NPI 1366647679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in IL · 036-130472✔ Licensed in MI · 4301090491
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 036-130472 (IL)
700 W LINCOLN AVE STE 200, Charleston, IL 61920
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathleen A. Hecksel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kathleen Hecksel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sarah Bush Lincoln Health Center
4.6 mi
Family Medicine
1000 HEALTH CENTER DR
Mattoon, IL 61938
  • Reassigned Medicare billing, Illinois enrollment
  • 652 clinicians in this Medicare group
NPI 1568581379 (217) 258-2525

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 61920 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
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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.

91.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

ANNMARIE S MCDONAGH MD
Psychiatry & Neurology (Psychiatry)
700 W LINCOLN AVE STE 200
CHARLESTON, IL 61920
Coles County (217) 238-4866
JENNIFER R SLEDGE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
700 W LINCOLN AVE STE 200
CHARLESTON, IL 61920
Coles County (217) 258-4042
JOHN LAUER MD
Psychiatry & Neurology (Psychiatry)
700 W LINCOLN AVE STE 200
CHARLESTON, IL 61920
Coles County (217) 238-4042
EMMA JOHNSON LSW
Social Worker
700 W LINCOLN AVE STE 200
CHARLESTON, IL 61920
Coles County (217) 238-4866
KENDRA J. COLE LCSW
Social Worker (Clinical)
700 W LINCOLN AVE STE 200
CHARLESTON, IL 61920
Coles County (217) 238-4042
MISS CHELSEA KAY ALLEN-LABAUME M.S., LCPC
Counselor (Professional)
700 W LINCOLN AVE STE 200
CHARLESTON, IL 61920
Coles County (217) 258-4042
JULIE ANN LITTLE GROVE M.S.
Counselor (Professional)
700 W LINCOLN AVE STE 200
CHARLESTON, IL 61920
Coles County (217) 258-4042
BERNADETTE MANGIALARDI LCPC
Counselor (Professional)
700 W LINCOLN AVE STE 200
CHARLESTON, IL 61920
Coles County (217) 238-4042

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 Kathleen Hecksel's NPI number?

The NPI number for Kathleen Hecksel is 1366647679. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Kathleen Hecksel located?

Kathleen Hecksel practices at 700 W Lincoln Ave Ste 200, Charleston, IL 61920. The listed phone number is (217) 238-4866.

What is Kathleen Hecksel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kathleen Hecksel enrolled in Medicare?

Yes. Kathleen Hecksel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen Hecksel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Hecksel reassigns Medicare benefits to Sarah Bush Lincoln Health Center (Mattoon, 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 Kathleen Hecksel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Hecksel accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kathleen Hecksel 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 Kathleen Hecksel was last updated on August 9, 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.