RENELL FRANCES COMPOSTO
NPI 1568124154
Nurse Practitioner - Family in Bloomington, IL

Q: What is Renell Composto's NPI number?

The NPI number for Renell Composto is 1568124154. It was assigned to this individual provider in the NPPES registry on October 11, 2021.

Q: What is Renell Composto's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Renell Composto was last updated on October 11, 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.

Active since October 11, 2021PECOS Enrolled

1130 S VETERANS PKWY, BLOOMINGTON, IL 61704(866) 389-2727 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Renell Frances Composto NPPES

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

RENELL FRANCES COMPOSTO (NPI 1568124154) is an individual family provider in Bloomington, Illinois, licensed in Illinois (0209023629) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568124154

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameRENELL FRANCES COMPOSTO

Location Address1130 S VETERANS PKWYBloomington, IL 61704-7117

Mailing Address1130 S Veterans PkwyBloomington, IL 61704-7117 · (866) 389-2727

Phone(866) 389-2727

Sole ProprietorNo

Enumeration DateOctober 11, 2021

NPPES CertifiedOctober 11, 2021

✔ NPI 1568124154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in IL · 0209023629

1130 S VETERANS PKWY, Bloomington, IL 61704

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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 (PECOS)

Renell Frances Composto is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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 10

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

JAIME LEE WEDDINGFELD PHARMD

Pharmacist