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CAROLE VILCHIS NP
NPI 1568703593
Nurse Practitioner in Decatur, IL

Active since March 15, 2013PECOS EnrolledAccepts Medicare Assignment
1800 E LAKE SHORE DR, DECATUR, IL 62521(217) 464-5811(217) 464-1318 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Carole Vilchis Np NPPES

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

CAROLE VILCHIS NP (NPI 1568703593) is an individual nurse practitioner in Decatur, Illinois, licensed in Illinois (209010318) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Katherine Shaw Bethea Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2012).

NPPES Registry Identity

NPI1568703593
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCAROLE VILCHISCredential: NP
Location Address1800 E LAKE SHORE DRDecatur, IL 62521-3810
Mailing Address1800 E Lake Shore DrDecatur, IL 62521-3810 · (217) 464-5811 · Fax (217) 464-1318
Phone(217) 464-5811
Fax(217) 464-1318
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2012
Enumeration DateMarch 15, 2013
Last NPPES UpdateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1568703593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209010318
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.
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 209010318 (IL)
1800 E LAKE SHORE DR, Decatur, IL 62521
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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

Carole Vilchis 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 ID2668610916
PECOS Enrollment IDI20130529000330
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

6

Medicare enrollment records show Carole Vilchis reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osf Multi-Specialty Group
77 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050
Sound Physicians Of Illinois, LLC
110 mi
Hospitalist
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Illinois enrollment
  • 419 clinicians in this Medicare group
NPI 1043598865 (314) 344-6000
Altea Medical Illinois PLLC
133 mi
Geriatric Medicine
490 W 16TH PL
Chicago Heights, IL 60411
  • Reassigned Medicare billing, Illinois enrollment
  • 173 clinicians in this Medicare group
NPI 1447039227 (888) 408-7008
Ksb Medical Group, Inc.
142 mi
Clinic/Center
215 E 1ST ST, STE 101
Dixon, IL 61021
  • Reassigned Medicare billing, Illinois enrollment
  • 130 clinicians in this Medicare group
NPI 1629046115 (815) 285-5973
Rockford Hospitalist Group, LLC
168 mi
Hospitalist
1401 E STATE ST
Rockford, IL 61104
  • Reassigned Medicare billing, Illinois enrollment
  • 69 clinicians in this Medicare group
NPI 1750088852 (779) 696-4400
Post Acute Medical PLLC
648 mi
Geriatric Medicine
6710 MALLERY DR
Lanham, MD 20706
  • Reassigned Medicare billing, Illinois enrollment
  • 176 clinicians in this Medicare group
NPI 1730713025 (888) 408-7008

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
71 services48 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
50 services49 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
48 services30 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
36 services36 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
17 services13 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
17 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Katherine Shaw Bethea Hospital

Acute Care Hospitals · Dixon, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140012
Location403 E 1st StDixon, IL 61021 · Lee County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62521 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.

MARY KATHERINE KENNEY PA
Physician Assistant (Medical)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2966
DR. MICHAEL CHOI MD
Pathology (Anatomic Pathology & Clinical Pathology)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2017
CHRISTINE M MEEKER N.P.
Nurse Practitioner
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2126
SOMAN NAIR MD
Radiology (Diagnostic Radiology)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2984
KRISTINA KAY BRADFORD APN
Nurse Practitioner (Family)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2966
MRS. KRISTEN LEE GROHNE SLP
Speech-Language Pathologist
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2415
MARY CRISLER
Nurse Practitioner (Psychiatric/Mental Health)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2540
CENTRAL ILLINOIS EMERGENCY PHYSICIANS, LLP
Emergency Medicine
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2966

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 Carole Vilchis's NPI number?

The NPI number for Carole Vilchis is 1568703593. It was assigned to this individual provider in the NPPES registry on March 15, 2013.

Where is Carole Vilchis located?

Carole Vilchis practices at 1800 E Lake Shore Dr, Decatur, IL 62521. The listed phone number is (217) 464-5811.

What is Carole Vilchis's specialty?

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

Is Carole Vilchis enrolled in Medicare?

Yes. Carole Vilchis 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 Carole Vilchis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carole Vilchis reassigns Medicare benefits to 6 organizations: Osf Multi-Specialty Group (Peoria, IL), Sound Physicians Of Illinois, LLC (Bridgeton, MO), Altea Medical Illinois PLLC (Chicago Heights, IL), Ksb Medical Group, Inc. (Dixon, IL), Rockford Hospitalist Group, LLC (Rockford, IL) and 1 more organization, listed in the Medicare section above. 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 Carole Vilchis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Carole Vilchis affiliated with any hospitals?

According to CMS data, Carole Vilchis is affiliated with Katherine Shaw Bethea Hospital, Osf Saint Elizabeth Mdl Ctr and Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for Carole Vilchis was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.