MICHAEL JAMES FNP-BC
NPI 1659004430
Nurse Practitioner in Carbondale, IL

Q: What is Michael James's NPI number?

The NPI number for Michael James is 1659004430. It was assigned to this individual provider in the NPPES registry on July 8, 2022.

Q: What is Michael James's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael James was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 08, 2022PECOS EnrolledAccepts Medicare Assignment

2601 W MAIN ST, CARBONDALE, IL 62901(618) 549-5361(618) 351-4878 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2026, Apr 29, 2026, Nov 21, 2023 and 3 more (6 updates tracked since 2022).

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About Michael James Fnp-bc NPPES

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

MICHAEL JAMES FNP-BC (NPI 1659004430) is an individual nurse practitioner in Carbondale, Illinois, licensed in Illinois (209025349) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1659004430

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMICHAEL JAMESCredential: FNP-BC

Location Address2601 W MAIN STCarbondale, IL 62901-1031

Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200

Phone(618) 549-5361

Fax(618) 351-4878

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 8, 2022

Last NPPES UpdateMay 5, 20266 updates tracked since enumeration

NPPES CertifiedMay 5, 2026

✔ NPI 1659004430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209025349

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.

2601 W MAIN ST, Carbondale, IL 62901

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Secondary Practice Locations 7

Location 1901 S Commercial StHarrisburg, IL 62946-2640 · Phone (618) 993-3817 · Fax (618) 993-3908

Location 2502 W Saint Louis St Ste 4West Frankfort, IL 62896-1968 · Phone (618) 937-3400 · Fax (618) 997-9324

Location 3117 E Clark StHarrisburg, IL 62946-2702 · Phone (618) 252-8625 · Fax (618) 351-4859

Location 4405 Rushing DrHerrin, IL 62948-3730 · Phone (618) 993-3300 · Fax (618) 993-0262

Location 5404 Lincoln DrHerrin, IL 62948-3789 · Phone (618) 993-0056 · Fax (618) 993-0752

Location 6202 W Jackson StCarbondale, IL 62901-1409 · Phone (618) 457-3019 · Fax (618) 529-0425

Location 72808 Outer DrMarion, IL 62959-5207 · Phone (618) 993-3817 · Fax (618) 993-3908

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

Michael James Fnp-bc 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 ID5597131524

PECOS Enrollment IDI20221017002058

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 5

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.

229 services184 patients

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.

168 services160 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.

100 services99 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

85 services85 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140011

Location201 S 14th StHerrin, IL 62948 · Williamson County

Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140164

Location405 W JacksonCarbondale, IL 62901 · Jackson County

Emergency services Birthing friendly

Harrisburg Medical Center

Acute Care Hospitals · Harrisburg, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140210

Location100 Doctor Warren Tuttle DrHarrisburg, IL 62946 · Saline County

Emergency services

St Joseph Memorial Hospital

Critical Access Hospitals · Murphysboro, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141334

Location2 South Hospital DriveMurphysboro, IL 62966 · Jackson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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.

MELISSA A MARTINEZ MATEO M.D.

Internal Medicine (Gastroenterology)