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MR. DANIEL THOMAS FOUTCH APRN, PMHNP-BC
NPI 1669149134
Nurse Practitioner - Psychiatric/Mental Health in Champaign, IL

Active since August 24, 2021PECOS Enrolled
328 N NEIL ST STE C, CHAMPAIGN, IL 61820(217) 377-0299(217) 492-8588 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 21, 2025, Aug 22, 2022, Apr 13, 2022 and 2 more (5 updates tracked since 2021).

About Mr. Daniel Thomas Foutch Aprn, Pmhnp-bc NPPES

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

MR. DANIEL THOMAS FOUTCH APRN, PMHNP-BC (NPI 1669149134) is an individual psychiatric/mental health provider in Champaign, Illinois, licensed in Illinois (209023867) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669149134
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. DANIEL THOMAS FOUTCHCredential: APRN, PMHNP-BC
Location Address328 N NEIL ST STE CChampaign, IL 61820-3614
Mailing Address328 N Neil St Ste CChampaign, IL 61820-3614 · (217) 377-0299 · Fax (217) 492-8588
Phone(217) 377-0299
Fax(217) 492-8588
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 24, 2021
Last NPPES UpdateMarch 21, 20255 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1669149134 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
License✔ Licensed in IL · 209023867
328 N NEIL ST STE C, Champaign, IL 61820
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 (PECOS)

Mr. Daniel Thomas Foutch Aprn, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880084607
PECOS Enrollment IDI20211209000207
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61820 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 5

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

MICHELLE DAWN KRIEGER LPC
Counselor (Mental Health)
328 N NEIL ST STE C
CHAMPAIGN, IL 61820
Champaign County (217) 377-0299
KIMBERLY BYCKOWSKI
Social Worker
328 N NEIL ST STE C
CHAMPAIGN, IL 61820
Champaign County (217) 377-0299
SUSANNAH SCARONI RDN
Dietitian, Registered
328 N NEIL ST STE C
CHAMPAIGN, IL 61820
Champaign County (217) 377-0299
MARIBETH J BOONSTRA
Social Worker (Clinical)
328 N NEIL ST STE C
CHAMPAIGN, IL 61820
Champaign County (217) 377-0299
DR. ALEXANDRA N LUNDQUIST RD
Dietitian, Registered
328 N NEIL ST STE C
CHAMPAIGN, IL 61820
Champaign County (217) 377-0299

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 Daniel Foutch's NPI number?

The NPI number for Daniel Foutch is 1669149134. It was assigned to this individual provider in the NPPES registry on August 24, 2021.

Where is Daniel Foutch located?

Daniel Foutch practices at 328 N Neil St Ste C, Champaign, IL 61820. The listed phone number is (217) 377-0299.

What is Daniel Foutch's specialty?

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

Is Daniel Foutch enrolled in Medicare?

Yes. Daniel Foutch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Foutch was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.