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DAWN MARIE COUSINS APN
NPI 1629420229
Nurse Practitioner - Family in Canton, IL

Active since July 07, 2016PECOS EnrolledAccepts Medicare Assignment
77.95/100
CMS Quality Rating
180 S MAIN ST, CANTON, IL 61520(309) 647-0201 Get Directions Write a Review

NPPES record last updated: November 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 26, 2021, Oct 20, 2021 (2 updates tracked since 2021).

About Dawn Marie Cousins Apn NPPES

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

DAWN MARIE COUSINS APN (NPI 1629420229) is an individual family provider in Canton, Illinois, licensed in Illinois (277000149) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1629420229
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDAWN MARIE COUSINSCredential: APN
Location Address180 S MAIN STCanton, IL 61520-2608
Mailing Address180 S Main StCanton, IL 61520-2608 · (309) 647-0201
Phone(309) 647-0201
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 7, 2016
Last NPPES UpdateNovember 26, 20212 updates tracked since enumeration
NPPES CertifiedNovember 26, 2021
✔ NPI 1629420229 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
Licenses✔ Licensed in IL · 277000149✔ Licensed in IL · 309009925
180 S MAIN ST, Canton, IL 61520
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dawn Marie Cousins 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 ID7911295662
PECOS Enrollment IDI20161012000915
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.

Areas of Expertise CMS Part B claims 2

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.
101 services80 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Graham Hospital Association

Acute Care Hospitals · Canton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140001
Location210 West Walnut StreetCanton, IL 61520 · Fulton County
Emergency services Birthing friendly

Mc Donough District Hospital

Acute Care Hospitals · Macomb, IL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number140089
Location525 East Grant StreetMacomb, IL 61455 · Mc Donough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61520 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.

77.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.58
Promoting Interoperability95
Improvement Activities40
Cost64

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.

SPOON RIVER HEARING SERVICES INC
Audiologist
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
A KURT SAVEGNAGO MD
Family Medicine
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
JOHN M MCCARTHY MD
Internal Medicine
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
MS. DARA MARIE WAGNER APN-C
Nurse Practitioner (Family)
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
JESSICA LYNN BUGOS APRN
Nurse Practitioner
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
STEPHEN WESTHAFER
Nurse Practitioner (Family)
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
MR. JARED MATTHEW GRZANICH P.A.-C
Physician Assistant
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
SUZANNE E HOLTHAUS MD
Family Medicine
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201

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 Dawn Cousins's NPI number?

The NPI number for Dawn Cousins is 1629420229. It was assigned to this individual provider in the NPPES registry on July 7, 2016.

Where is Dawn Cousins located?

Dawn Cousins practices at 180 S Main St, Canton, IL 61520. The listed phone number is (309) 647-0201.

What is Dawn Cousins's specialty?

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

Is Dawn Cousins enrolled in Medicare?

Yes. Dawn Cousins 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.

Is Dawn Cousins affiliated with any hospitals?

According to CMS data, Dawn Cousins is affiliated with Graham Hospital Association and Mc Donough District Hospital.

When was this NPI record last updated?

The NPPES record for Dawn Cousins was last updated on November 26, 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.