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MONICA N SCOTT NP
NPI 1538627252
Nurse Practitioner - Family in Mattoon, IL

Active since March 12, 2019PECOS EnrolledAccepts Medicare Assignment
91.8/100
CMS Quality Rating
1000 HEALTH CENTER DR, MATTOON, IL 61938(217) 238-4960(217) 238-4951 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 25, 2025, Feb 15, 2023, Mar 12, 2019 (3 updates tracked since 2019).

About Monica N Scott Np NPPES

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

MONICA N SCOTT NP (NPI 1538627252) is an individual family provider in Mattoon, Illinois, licensed in Illinois (209018962) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1538627252
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMONICA N SCOTTCredential: NP
Location Address1000 HEALTH CENTER DRMattoon, IL 61938-4644
Mailing AddressPo Box 372Mattoon, IL 61938-0372
Phone(217) 238-4960
Fax(217) 238-4951
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 12, 2019
Last NPPES UpdateMarch 25, 20253 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1538627252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209018962
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209018962 (IL)
1000 HEALTH CENTER DR, Mattoon, IL 61938
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1800 E Locust StOlney, IL 62450-2553 · Phone (618) 395-2131
Location 21303 W Evergreen Ave Ste 201Effingham, IL 62401-1638 · Phone (217) 347-1422 · Fax (217) 342-3402
Location 3650 W Taylor StVandalia, IL 62471-1227 · Phone (618) 283-1231 · Fax (618) 283-1617

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.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

Monica N Scott 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.

PECOS PAC ID5698017093
PECOS Enrollment IDI20190506001217
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 Monica Scott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sarah Bush Lincoln Health Center
Same address
Family Medicine
1000 HEALTH CENTER DR
Mattoon, IL 61938
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1912988734 (Illinois)
  • 652 clinicians in this Medicare group
NPI 1568581379 (217) 258-2525

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
343 services260 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services32 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
20 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Fayette County Hospital

Critical Access Hospitals · Vandalia, IL
OwnershipVoluntary non-profit - Other
CMS Certification Number141346
Location650 W Taylor StVandalia, IL 62471 · Fayette County
Emergency services

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.

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.

91.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

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.

DR. DOMINIC PERRINO D.O.
Hospitalist
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 238-4325
VINCENT P CAGUNGUN RN
Nurse Anesthetist, Certified Registered
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-4006
ELLIE BUENING OTR/L
Occupational Therapist
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-2530
DR. ALEXIS AYONOTE M.D.
Internal Medicine (Gastroenterology)
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-4155
MICHAEL JOHN ATKINSON MPAS, PA-C, ATC
Physician Assistant
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 238-4960
JOHN ROGERS MD
Internal Medicine
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 238-4325
JOSEPH BURTON D.O.
Emergency Medicine
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-2551
ROBERT BLOOD M.D.
Anesthesiology
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-2440

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 Monica Scott's NPI number?

The NPI number for Monica Scott is 1538627252. It was assigned to this individual provider in the NPPES registry on March 12, 2019.

Where is Monica Scott located?

Monica Scott practices at 1000 Health Center Dr, Mattoon, IL 61938. The listed phone number is (217) 238-4960.

What is Monica Scott's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Monica Scott enrolled in Medicare?

Yes. Monica Scott 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 Monica Scott's services?

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

What insurance does Monica Scott accept?

Health plans from Ambetter Health list Monica Scott 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 Monica Scott affiliated with any hospitals?

According to CMS data, Monica Scott is affiliated with Sarah Bush Lincoln Health Center and Fayette County Hospital.

When was this NPI record last updated?

The NPPES record for Monica Scott was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.