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STACEY DINKELMAN
NPI 1417328741
Counselor - Mental Health in Centralia, IL

Active since October 13, 2015PECOS EnrolledAccepts Medicare Assignment
904 E MARTIN LUTHER KING DR., CENTRALIA, IL 62801(618) 533-1391 Get Directions Write a Review

NPPES record last updated: October 13, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stacey Dinkelman NPPES

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

STACEY DINKELMAN (NPI 1417328741) is an individual mental health provider in Centralia, Illinois and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1417328741
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACEY DINKELMAN
Location Address904 E MARTIN LUTHER KING DR.Centralia, IL 62801
Mailing Address16271 Dog Alley RdOkawville, IL 62271-1529
Phone(618) 533-1391
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 13, 2015
✔ NPI 1417328741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
904 E MARTIN LUTHER KING DR., Centralia, IL 62801
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Accepted Insurance

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

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

Stacey Dinkelman 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 ID7315477379
PECOS Enrollment IDI20250206001845
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 Reassignments

3

Medicare enrollment records show Stacey Dinkelman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Mary's Hospital, Centralia, Illinois
0.9 mi
Anesthesiology
400 N PLEASANT AVE
Centralia, IL 62801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: St Marys Hospital Centralia Illinois
  • 392 clinicians in this Medicare group
NPI 1477097871 (618) 436-6056
Good Samaritan Regional Health Center
19 mi
Specialist
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 284 clinicians in this Medicare group
NPI 1134457955 (618) 899-4600
Midwest Post Acute Care PLLC
248 mi
Nurse Practitioner
3000 N HALSTED ST STE 803
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois enrollment
  • 129 clinicians in this Medicare group
NPI 1083012074 (888) 705-8722

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

MISS MELISSA DANE M.A.
Counselor
904 E MARTIN LUTHER KING DR.
CENTRALIA, IL 62801
Marion County (618) 533-1391

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 Stacey Dinkelman's NPI number?

The NPI number for Stacey Dinkelman is 1417328741. It was assigned to this individual provider in the NPPES registry on October 13, 2015.

Where is Stacey Dinkelman located?

Stacey Dinkelman practices at 904 E Martin Luther King Dr., Centralia, IL 62801. The listed phone number is (618) 533-1391.

What is Stacey Dinkelman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Stacey Dinkelman enrolled in Medicare?

Yes. Stacey Dinkelman 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 Stacey Dinkelman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Dinkelman reassigns Medicare benefits to 3 organizations: St. Mary's Hospital, Centralia, Illinois (Centralia, IL), Good Samaritan Regional Health Center (Mount Vernon, IL) and Midwest Post Acute Care PLLC (Chicago, 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 Stacey Dinkelman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Dinkelman accept?

Health plans from Oscar Health and UnitedHealthcare list Stacey Dinkelman 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 Stacey Dinkelman was last updated on October 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.