CASEY AT DIVELY NP-C
NPI 1386171809
Nurse Practitioner - Family in Taylorville, IL

Q: What is Casey Dively's NPI number?

The NPI number for Casey Dively is 1386171809. It was assigned to this individual provider in the NPPES registry on May 15, 2017.

Q: What is Casey Dively's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Casey Dively was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since May 15, 2017PECOS EnrolledAccepts Medicare Assignment

1304 BURNETT DR, TAYLORVILLE, IL 62568(217) 321-9310 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 22, 2019, May 15, 2017 (2 updates tracked since 2017).

On this page

About Casey At Dively Np-c NPPES

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

CASEY AT DIVELY NP-C (NPI 1386171809) is an individual family provider in Taylorville, Illinois, licensed in Illinois (209015986041408044) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1386171809

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCASEY AT DIVELYCredential: NP-C

Location Address1304 BURNETT DRTaylorville, IL 62568-9519

Mailing Address1304 Burnett DrTaylorville, IL 62568-9519 · (217) 321-9310

Phone(217) 321-9310

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 15, 2017

Last NPPES UpdateJanuary 13, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2025

✔ NPI 1386171809 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 · 209015986041408044

1304 BURNETT DR, Taylorville, IL 62568

Open in Google Maps ↗

Secondary Practice Location 1

Location 1701 N 1st StSpringfield, IL 62781-0001 · Phone (217) 788-3891 · Fax (217) 788-6459

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

Casey At Dively Np-c 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 ID4082984406

PECOS Enrollment IDI20170718002412

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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Johns Hospital

Acute Care Hospitals · Springfield, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140053

Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County

Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140166

Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County

Emergency services Birthing friendly

Taylorville Memorial Hospital

Critical Access Hospitals · Taylorville, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number141339

Location201 East Pleasant StreetTaylorville, IL 62568 · Christian County

Emergency services

Hshs Good Shepherd Hospital Inc

Critical Access Hospitals · Shelbyville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141354

Location200 S Cedar StShelbyville, IL 62565 · Shelby County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62568 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 5

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

WENDY D DORWORTH CFNP

Nurse Practitioner