KATHLEEN A GUINNEE APRN
NPI 1467235051
Nurse Practitioner - Psychiatric/Mental Health in Mattoon, IL

Active since August 16, 2023PECOS EnrolledAccepts Medicare Assignment
1000 HEALTH CENTER DR, MATTOON, IL 61938(217) 258-2397(217) 258-2107 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 18, 2024, Oct 13, 2023, Aug 16, 2023 (3 updates tracked since 2023).

About Kathleen A Guinnee Aprn NPPES

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

KATHLEEN A GUINNEE APRN (NPI 1467235051) is an individual psychiatric/mental health provider in Mattoon, Illinois, licensed in Illinois (209028104) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1467235051
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATHLEEN A GUINNEECredential: APRN
Location Address1000 HEALTH CENTER DRMattoon, IL 61938-4644
Mailing AddressPo Box 372Mattoon, IL 61938-0372
Fax(217) 258-2107
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 16, 2023
Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1467235051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209028104
1000 HEALTH CENTER DR, Mattoon, IL 61938

Other Names 1

Former Name (1)Kathleen Chaney

Secondary Practice Location 1

Location 1700 W Lincoln AveCharleston, IL 61920-2467 · Phone (217) 238-4042 · Fax (217) 238-4053

Accepted 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

Kathleen A Guinnee Aprn 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 ID7618323759
PECOS Enrollment IDI20231026001410
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 Guinnee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1000 HEALTH CENTER DR
Mattoon, IL 61938
  • Reassigned Medicare billing, Illinois enrollment
  • 652 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.

Areas of Expertise CMS Part B claims 4

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 hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
211 services52 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
43 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
37 services22 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
34 services25 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.

Other Providers at the Same Location NPPES 20

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

Hospitalist
1000 HEALTH CENTER DR
MATTOON, IL 61938
Nurse Anesthetist, Certified Registered
1000 HEALTH CENTER DR
MATTOON, IL 61938
Occupational Therapist
1000 HEALTH CENTER DR
MATTOON, IL 61938
Internal Medicine (Gastroenterology)
1000 HEALTH CENTER DR
MATTOON, IL 61938
Physician Assistant
1000 HEALTH CENTER DR
MATTOON, IL 61938
Internal Medicine
1000 HEALTH CENTER DR
MATTOON, IL 61938
Emergency Medicine
1000 HEALTH CENTER DR
MATTOON, IL 61938
Anesthesiology
1000 HEALTH CENTER DR
MATTOON, IL 61938

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 Guinnee's NPI number?

The NPI number for Kathleen Guinnee is 1467235051. It was assigned to this individual provider in the NPPES registry on August 16, 2023. The provider is also known as Kathleen Chaney.

Where is Kathleen Guinnee located?

Kathleen Guinnee practices at 1000 Health Center Dr, Mattoon, IL 61938. The listed phone number is (217) 258-2397.

What is Kathleen Guinnee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kathleen Guinnee enrolled in Medicare?

Yes. Kathleen Guinnee 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 organization bills Medicare for Kathleen Guinnee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Guinnee 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 Guinnee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Guinnee accept?

Health plans from Oscar Health list Kathleen Guinnee 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 Kathleen Guinnee affiliated with any hospitals?

According to CMS data, Kathleen Guinnee is affiliated with Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Kathleen Guinnee was last updated on September 18, 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.