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CATALINA WEST
NPI 1659071868
Nurse Practitioner - Family in Decatur, IL

Active since March 06, 2023PECOS EnrolledAccepts Medicare Assignment
304 W HAY ST STE 212, DECATUR, IL 62526(217) 876-4390(217) 876-4395 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2025, Mar 14, 2023, Mar 6, 2023 (3 updates tracked since 2023).

About Catalina West NPPES

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

CATALINA WEST (NPI 1659071868) is an individual family provider in Decatur, Illinois, licensed in Illinois (209026829) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and maintains a secondary practice location in Decatur.

NPPES Registry Identity

NPI1659071868
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCATALINA WEST
Location Address304 W HAY ST STE 212Decatur, IL 62526-6376
Mailing Address4455 E Us Route 36Decatur, IL 62521-5003 · (217) 876-5320 · Fax (217) 876-5945
Phone(217) 876-4390
Fax(217) 876-4395
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 6, 2023
Last NPPES UpdateDecember 9, 20253 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1659071868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209026829
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 209026829 (IL)
304 W HAY ST STE 212, Decatur, IL 62526
Open in Google Maps ↗

Secondary Practice Location 1

Location 14455 E US Route 36Decatur, IL 62521-5003 · Phone (217) 876-5320 · Fax (217) 876-5945

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

Catalina West 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 ID8325405491
PECOS Enrollment IDI20230605002197
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

3

Medicare enrollment records show Catalina West reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Decatur Memorial Hospital
0.1 mi
General Acute Care Hospital
2300 N EDWARD ST, GSBLL
Decatur, IL 62526
  • Reassigned Medicare billing, Illinois enrollment
  • 166 clinicians in this Medicare group
NPI 1164477725 (217) 876-2868
Memorial Physician Services
29 mi
Multi-Specialty
515 N COLLEGE ST
Lincoln, IL 62656
  • Reassigned Medicare billing, Illinois enrollment
  • 150 clinicians in this Medicare group
NPI 1477614105 (217) 732-9681
Passavant Memorial Area Hospital Association
70 mi
Critical Access
1600 W WALNUT ST
Jacksonville, IL 62650
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1235864810 (Illinois)
  • 39 clinicians in this Medicare group
NPI 1174580831 (217) 245-9541

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.

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.
23 services21 patients

Hospital Affiliations CMS Care Compare

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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 2

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

OMAR MOHAMMAD AL-HEETI MD
Internal Medicine (Infectious Disease)
304 W HAY ST STE 212
DECATUR, IL 62526
Macon County (217) 876-4390
BRENDA D SCHWASS NP
Nurse Practitioner (Family)
304 W HAY ST STE 212
DECATUR, IL 62526
Macon County (217) 876-4390

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 Catalina West's NPI number?

The NPI number for Catalina West is 1659071868. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Where is Catalina West located?

Catalina West practices at 304 W Hay St Ste 212, Decatur, IL 62526. The listed phone number is (217) 876-4390.

What is Catalina West's specialty?

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

Is Catalina West enrolled in Medicare?

Yes. Catalina West 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 Catalina West's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Catalina West reassigns Medicare benefits to 3 organizations: Decatur Memorial Hospital (Decatur, IL), Memorial Physician Services (Lincoln, IL) and Passavant Memorial Area Hospital Association (Jacksonville, 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 Catalina West's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Catalina West affiliated with any hospitals?

According to CMS data, Catalina West is affiliated with Decatur Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Catalina West was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.