PATRICIA MARIE FANK M.D.
NPI 1629499769
Psychologist - Clinical in Springfield, IL
About Patricia Marie Fank M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICIA MARIE FANK M.D. (NPI 1629499769) is an individual clinical provider in Springfield, Illinois, licensed in Illinois (071008719) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Patricia Marie Fank M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Patricia Fank reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, IL 62702
- Reassigned Medicare billing, Illinois enrollment
- 645 clinicians in this Medicare group
Oak Brook, IL 60523
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Rush University Medical Group
- 2,169 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rush University Medical Center
Acute Care Hospitals · Chicago, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SPRINGFIELD, IL 62702
SPRINGFIELD, IL 62702
SPRINGFIELD, IL 62702
SPRINGFIELD, IL 62702
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 Patricia Fank's NPI number?
The NPI number for Patricia Fank is 1629499769. It was assigned to this individual provider in the NPPES registry on December 16, 2013.
Where is Patricia Fank located?
Patricia Fank practices at 315 W Carpenter St 1st Floor, Springfield, IL 62702. The listed phone number is (217) 545-8000.
What is Patricia Fank's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Patricia Fank enrolled in Medicare?
Yes. Patricia Fank 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 Patricia Fank's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Fank reassigns Medicare benefits to 2 organizations: Siu Physicians & Surgeons, Inc (Springfield, IL) and Rush University Medical Center (Oak Brook, 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 Patricia Fank's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Patricia Fank accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Patricia Fank 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 Patricia Fank affiliated with any hospitals?
According to CMS data, Patricia Fank is affiliated with Rush University Medical Center.
When was this NPI record last updated?
The NPPES record for Patricia Fank was last updated on February 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Patricia Marie Fank, M.D. · NPI 1629499769
Clinical provider in Springfield, Illinois. Individual provider, active in the CMS NPPES registry since December 16, 2013.
## Identity
- **NPI:** 1629499769 (Entity type: Individual)
- **Enumerated:** December 16, 2013
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 071008719 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 315 W CARPENTER ST, 1ST FLOOR, Springfield, IL 62702-4901
- **Phone:** (217) 545-8000 · **Fax:** (217) 545-0548
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Siu Physicians & Surgeons, Inc (NPI 1558385989, Springfield, IL); Rush University Medical Center (NPI 1801375696, Oak Brook, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** February 26, 2014
- **Other identifiers:** Medicare PIN F400120938 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1629499769) · Data from the CMS NPPES public registry.