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STACEY ELAINE SALMONSON APRN, CNP
NPI 1649761180
Nurse Practitioner - Psychiatric/Mental Health in Bloomington, IL

Active since May 21, 2018PECOS EnrolledAccepts Medicare Assignment
3024 E EMPIRE ST STE 2A, BLOOMINGTON, IL 61704(309) 556-7800 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 28, 2024, May 15, 2024, Apr 19, 2021 and 3 more (6 updates tracked since 2018).

About Stacey Elaine Salmonson Aprn, Cnp NPPES

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

STACEY ELAINE SALMONSON APRN, CNP (NPI 1649761180) is an individual psychiatric/mental health provider in Bloomington, Illinois, licensed in Illinois (277003306) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1649761180
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSTACEY ELAINE SALMONSONCredential: APRN, CNP
Location Address3024 E EMPIRE ST STE 2ABloomington, IL 61704-5402
Mailing Address3024 E Empire St Ste 2aBloomington, IL 61704-5402 · (309) 556-7800
Phone(309) 556-7800
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 21, 2018
Last NPPES UpdateJanuary 23, 20256 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2025
✔ NPI 1649761180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in IL · 277003306✔ Licensed in MA · RN2342234✔ Licensed in CO · APN.0994059
3024 E EMPIRE ST STE 2A, Bloomington, IL 61704
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1515 28 3/4 RdGrand Junction, CO 81501 · Phone (970) 263-4918 · Fax (970) 683-7278
Location 25500 S Sycamore StLittleton, CO 80120-8201 · Phone (303) 730-8858
Location 3164 High StGreenfield, MA 01301-2613 · Phone (413) 773-2595
Location 4759 Chestnut St, WG703Springfield, MA 01107-1619 · Phone (413) 794-5555 · Fax (413) 794-9803

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

Stacey Elaine Salmonson Aprn, Cnp 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 ID2163777566
PECOS Enrollment IDI20180625003601, I20240619000056
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

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 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.
36 services14 patients

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

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

KIMBERLY A KLEPEC MSW, LCSW
Social Worker (Clinical)
3024 E EMPIRE ST STE 2A
BLOOMINGTON, IL 61704
McLean County (309) 556-7800

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 Stacey Salmonson's NPI number?

The NPI number for Stacey Salmonson is 1649761180. It was assigned to this individual provider in the NPPES registry on May 21, 2018.

Where is Stacey Salmonson located?

Stacey Salmonson practices at 3024 E Empire St Ste 2A, Bloomington, IL 61704. The listed phone number is (309) 556-7800.

What is Stacey Salmonson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Stacey Salmonson enrolled in Medicare?

Yes. Stacey Salmonson 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.

When was this NPI record last updated?

The NPPES record for Stacey Salmonson was last updated on January 23, 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.