1. Home
  2. Directory
  3. Illinois
  4. Springfield
  5. Family Medicine
  6. NPI Profile

DR. RISHA RAVEN FENNELL MD
NPI 1487622379
Family Medicine - Addiction Medicine in Springfield, IL

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
2501 CHATHAM RD STE 4713, SPRINGFIELD, IL 62704(779) 429-2227 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 7, 2024, Jul 21, 2023, Jan 27, 2023 and 5 more (8 updates tracked since 2017).

About Dr. Risha Raven Fennell Md NPPES

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

DR. RISHA RAVEN FENNELL MD (NPI 1487622379) is an individual addiction medicine provider in Springfield, Illinois, licensed in Illinois (036100518) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and maintains a secondary practice location in Lincoln.

NPPES Registry Identity

NPI1487622379
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameDR. RISHA RAVEN FENNELLCredential: MD
Location Address2501 CHATHAM RD STE 4713Springfield, IL 62704-4188
Mailing Address900 Beech StNormal, IL 61761-1803 · (779) 429-2227
Phone(779) 429-2227
Sole ProprietorYes
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1997
Enumeration DateMarch 8, 2006
Last NPPES UpdateJune 7, 20248 updates tracked since enumeration
NPPES CertifiedJune 7, 2024
✔ NPI 1487622379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in IL · 036100518
Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 036100518 (IL)
2501 CHATHAM RD STE 4713, Springfield, IL 62704
Open in Google Maps ↗

Other Names 1

Former Name (1)Risha O'connor Raven Md

Secondary Practice Location 1

Location 11096 1350th StLincoln, IL 62656-5094 · Phone (217) 735-5581

Other Identifiers 1

Medicaid036100518IL

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

Dr. Risha Raven Fennell Md 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 ID3375739386
PECOS Enrollment IDI20101201001278
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

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62704 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers32 claims84 services$6.23 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier11 claims1,650 services$1.58 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
1 supplier11 claims44 services$1.31 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers18 claims18 services$23.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Risha Fennell's NPI number?

The NPI number for Risha Fennell is 1487622379. It was assigned to this individual provider in the NPPES registry on March 8, 2006. The provider is also known as Risha O'connor Raven MD.

Where is Risha Fennell located?

Risha Fennell practices at 2501 Chatham Rd Ste 4713, Springfield, IL 62704. The listed phone number is (779) 429-2227.

What is Risha Fennell's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Risha Fennell enrolled in Medicare?

Yes. Risha Fennell 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.

Is Risha Fennell affiliated with any hospitals?

According to CMS data, Risha Fennell is affiliated with Decatur Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Risha Fennell was last updated on June 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.