MARC SCHOLES NP
NPI 1518327550
Nurse Practitioner - Family in Pana, IL
About Marc Scholes Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARC SCHOLES NP (NPI 1518327550) is an individual family provider in Pana, Illinois, licensed in Illinois (209013957) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains a secondary practice location in Breese.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Marc Scholes Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Marc Scholes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pana, IL 62557
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1942326970 (Illinois)
- 98 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Medical Center
Acute Care Hospitals · Springfield, ILPana Community Hospital
Critical Access Hospitals · Pana, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62557 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
PANA, IL 62557
PANA, IL 62557
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 Marc Scholes's NPI number?
The NPI number for Marc Scholes is 1518327550. It was assigned to this individual provider in the NPPES registry on March 3, 2016.
Where is Marc Scholes located?
Marc Scholes practices at 101 E 9th St, Pana, IL 62557. The listed phone number is (217) 562-2544.
What is Marc Scholes's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Marc Scholes enrolled in Medicare?
Yes. Marc Scholes 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 Marc Scholes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marc Scholes reassigns Medicare benefits to Pana Community Hospital Association (Pana, 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 Marc Scholes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marc Scholes accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Marc Scholes 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 Marc Scholes affiliated with any hospitals?
According to CMS data, Marc Scholes is affiliated with Memorial Medical Center and Pana Community Hospital.
When was this NPI record last updated?
The NPPES record for Marc Scholes was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Marc Scholes, NP · NPI 1518327550
Family physician in Pana, Illinois. Individual provider, active in the CMS NPPES registry since March 3, 2016.
## Identity
- **NPI:** 1518327550 (Entity type: Individual)
- **Enumerated:** March 3, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209013957 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 E 9TH ST, Pana, IL 62557-1716
- **Phone:** (217) 562-2544 · **Fax:** (217) 562-6228
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pana Community Hospital Association (NPI 1619215860, Pana, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** December 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1518327550) · Data from the CMS NPPES public registry.