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MR. DARREN M SAWYER APN
NPI 1558800656
Nurse Practitioner in Bloomington, IL

Active since February 22, 2017PECOS EnrolledAccepts Medicare Assignment
1111 TRINITY LN, SUITE 111, BLOOMINGTON, IL 61704(309) 663-6461(309) 663-5711 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 10, 2022, Feb 22, 2017 (2 updates tracked since 2017).

About Mr. Darren M Sawyer Apn NPPES

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

MR. DARREN M SAWYER APN (NPI 1558800656) is an individual nurse practitioner in Bloomington, Illinois, licensed in Illinois (209015634) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1558800656
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. DARREN M SAWYERCredential: APN
Location Address1111 TRINITY LN, SUITE 111Bloomington, IL 61704-8111
Mailing Address611 W Park StUrbana, IL 61801-2529
Phone(309) 663-6461
Fax(309) 663-5711
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 22, 2017
Last NPPES UpdateJanuary 10, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2022
✔ NPI 1558800656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209015634
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1111 TRINITY LN, Bloomington, IL 61704
Open in Google Maps ↗

Other Identifiers 1

Other209015634IL · St Of Il License

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

Mr. Darren M Sawyer Apn 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 ID9133404668
PECOS Enrollment IDI20170324001965
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 Darren Sawyer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carle West Physician Group Inc
3.9 mi
Family Medicine
1302 FRANKLIN AVE STE 3400
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 698 clinicians in this Medicare group
NPI 1467074138 (309) 556-8295
Carle Health Medical Group
45 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300

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 8

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
90 services72 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.
79 services71 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients
Application of hand and lower forearm cast 29085
The application of a hand and lower forearm cast involves placing a supportive structure around the hand and lower arm. This is done to stabilize and protect the area after an injury, allowing for proper healing. The cast is typically made of plaster or fiberglass.
23 services20 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
20 services16 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61704 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 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COURTNEY YAMADA PT, MS
Physical Therapist
1111 TRINITY LN, SUITE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
MARY A MEISMER OTR/L, CHT (NBCOT)
Occupational Therapist (Hand)
1111 TRINITY LN, SUITE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
MR. CHARLES LEWIS ROGERS OPA-C
Specialist/Technologist, Other (Surgical Assistant)
1111 TRINITY LN, SUITE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
JONATHAN AUBRY
Family Medicine (Sports Medicine)
1111 TRINITY LN
BLOOMINGTON, IL 61704
McLean County (309) 661-6414
TYLER JORDAN NEAL D.O.
Orthopaedic Surgery
1111 TRINITY LN
BLOOMINGTON, IL 61704
McLean County (309) 608-5100
MR. BRYAN D JASKER PT
Physical Therapist
1111 TRINITY LN, SUITE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
NICHOLAS CHRISTOPHER BURKE PT
Physical Therapist
1111 TRINITY LN
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
AUSTIN EICHELBERGER PT, DPT
Physical Therapist
1111 TRINITY LN
BLOOMINGTON, IL 61704
McLean County (309) 663-6461

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 Darren Sawyer's NPI number?

The NPI number for Darren Sawyer is 1558800656. It was assigned to this individual provider in the NPPES registry on February 22, 2017.

Where is Darren Sawyer located?

Darren Sawyer practices at 1111 Trinity Ln Suite 111, Bloomington, IL 61704. The listed phone number is (309) 663-6461.

What is Darren Sawyer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Darren Sawyer enrolled in Medicare?

Yes. Darren Sawyer 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 Darren Sawyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Darren Sawyer reassigns Medicare benefits to 2 organizations: Carle West Physician Group Inc (Normal, IL) and Carle Health Medical Group (Urbana, 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 Darren Sawyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Darren Sawyer affiliated with any hospitals?

According to CMS data, Darren Sawyer is affiliated with St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Darren Sawyer was last updated on January 10, 2022. 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.