JODY L POULTNEY LCSW
NPI 1407172554
Social Worker - Clinical in Normal, IL
About Jody L Poultney Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JODY L POULTNEY LCSW (NPI 1407172554) is an individual clinical provider in Normal, Illinois, licensed in Illinois (149013689) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jody L Poultney Lcsw 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jody Poultney reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Normal, IL 61761
- Reassigned Medicare billing, Illinois enrollment
- 4,870 clinicians in this Medicare group
Normal, IL 61761
- Reassigned Medicare billing, Illinois enrollment
- 698 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 clinicians in this Medicare group
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 61761 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORMAL, IL 61761
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 Jody Poultney's NPI number?
The NPI number for Jody Poultney is 1407172554. It was assigned to this individual provider in the NPPES registry on April 14, 2010.
Where is Jody Poultney located?
Jody Poultney practices at 403 W Virginia Ave, Normal, IL 61761. The listed phone number is (309) 268-3669.
What is Jody Poultney's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Jody Poultney enrolled in Medicare?
Yes. Jody Poultney 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.
Which organizations bill Medicare for Jody Poultney's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jody Poultney reassigns Medicare benefits to 3 organizations: Advocate Health And Hospitals Corp. (Normal, IL), Carle West Physician Group Inc (Normal, IL) and Carle Health Medical Group (Urbana, IL). Each 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 Jody Poultney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jody Poultney was last updated on April 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Jody L Poultney, LCSW · NPI 1407172554
Clinical provider in Normal, Illinois. Individual provider, active in the CMS NPPES registry since April 14, 2010.
## Identity
- **NPI:** 1407172554 (Entity type: Individual)
- **Enumerated:** April 14, 2010
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 149013689 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 403 W VIRGINIA AVE, Normal, IL 61761-3666
- **Phone:** (309) 268-3669 · **Fax:** (309) 268-3649
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Advocate Health And Hospitals Corp. (NPI 1295066975, Normal, IL); Carle West Physician Group Inc (NPI 1467074138, Normal, IL); Carle Health Medical Group (NPI 1154653947, Urbana, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** April 14, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1407172554) · Data from the CMS NPPES public registry.