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

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: November 01, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carli Light reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Board Of Trustees Of The University Of Illinois
22 mi
Pediatrics
1 ILLINI DR
Peoria, IL 61605
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1467425322 (309) 680-8649
Ottawa Regional Hospital & Healthcare Center
43 mi
General Acute Care Hospital
1100 E NORRIS DR
Ottawa, IL 61350
  • Reassigned Medicare billing, Illinois enrollment
  • 130 clinicians in this Medicare group
NPI 1306971080 (815) 433-3100

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 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.

MRS. RACHEL NICOLE ANDERSON APP
Nurse Practitioner (Family)
401 N MAIN ST
ROANOKE, IL 61561
Woodford County (309) 923-2661
MICHELLE M STEPHENS APN
Nurse Practitioner
401 N MAIN ST
ROANOKE, IL 61561
Woodford County (309) 923-2661
ERICA NICOLE SVENDSEN APRN,CNP
Nurse Practitioner (Family)
401 N MAIN ST
ROANOKE, IL 61561
Woodford County (309) 923-2661
JENNIFER RENEE STOLLER DNP, PNP-PC
Nurse Practitioner (Pediatrics)
401 N MAIN ST
ROANOKE, IL 61561
Woodford County (309) 923-2661
MADDALENA DAVENPORT APRN
Nurse Practitioner (Family)
401 N MAIN ST
ROANOKE, IL 61561
Woodford County (309) 923-2661
SAINT JAMES HOSPITAL
Clinic/Center (Rural Health)
401 N MAIN ST
ROANOKE, IL 61561
Woodford County (309) 923-2661
HAYLEY ELIZABETH WILSON
Nurse Practitioner (Family)
401 N MAIN ST
ROANOKE, IL 61561
Woodford County (309) 923-2661
PETRA FLORES APRN, FNP-C
Nurse Practitioner (Family)
401 N MAIN ST
ROANOKE, IL 61561
Woodford County (309) 923-2661

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 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.

Where is Carli Light located?

Carli Light practices at 401 N Main St, Roanoke, IL 61561. The listed phone number is (309) 923-2661.

What is Carli Light's specialty?

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

Is Carli Light enrolled in Medicare?

Yes. Carli Light 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 Carli Light's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carli Light reassigns Medicare benefits to 2 organizations: Board Of Trustees Of The University Of Illinois (Peoria, IL) and Ottawa Regional Hospital & Healthcare Center (Ottawa, 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 Carli Light'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 Carli Light was last updated on October 25, 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.