CARLI ANN LIGHT APRN, CNP
NPI 1508622275
Nurse Practitioner - Pediatrics in Roanoke, IL

Q: What is Carli Light's NPI number?

The NPI number for Carli Light is 1508622275. It was assigned to this individual provider in the NPPES registry on February 21, 2024.

Q: What is Carli Light's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Carli Light was last updated on October 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 21, 2024PECOS EnrolledAccepts Medicare Assignment

401 N MAIN ST, ROANOKE, IL 61561(309) 923-2661 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Carli Ann Light Aprn, Cnp NPPES

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

CARLI ANN LIGHT APRN, CNP (NPI 1508622275) is an individual pediatrics provider in Roanoke, Illinois, licensed in Illinois (209028999) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2022).

NPPES Registry Identity

NPI1508622275

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameCARLI ANN LIGHTCredential: APRN, CNP

Location Address401 N MAIN STRoanoke, IL 61561-7585

Mailing Address401 N Main StRoanoke, IL 61561-7585 · (309) 923-2661 · Fax (309) 923-7628

Phone(309) 923-2661

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2022

Enumeration DateFebruary 21, 2024

Last NPPES UpdateOctober 25, 2024

NPPES CertifiedOctober 25, 2024

✔ NPI 1508622275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in IL · 209028999

Also ListedPediatricsTaxonomy 208000000X · License 209.028999 (IL)

401 N MAIN ST, Roanoke, IL 61561

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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

Carli Ann Light Aprn, Cnp 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 ID4486196359

PECOS Enrollment IDI20240606002272

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61561 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.

BRAD A. STOECKER MD

Family Medicine