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CINDY KOHTZ FNP-BC
NPI 1689264160
Nurse Practitioner - Psychiatric/Mental Health in Bloomington, IL

Active since January 19, 2021PECOS Enrolled
702 W CHESTNUT ST, BLOOMINGTON, IL 61701(309) 557-1400 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2024, Aug 4, 2022, Jan 19, 2021 (3 updates tracked since 2021).

About Cindy Kohtz Fnp-bc NPPES

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

CINDY KOHTZ FNP-BC (NPI 1689264160) is an individual psychiatric/mental health provider in Bloomington, Illinois, licensed in Illinois (209.021824) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Normal.

NPPES Registry Identity

NPI1689264160
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCINDY KOHTZCredential: FNP-BC
Location Address702 W CHESTNUT STBloomington, IL 61701-2814
Mailing Address448 Wylie DrNormal, IL 61761-5405 · (161) 851-2180
Phone(309) 557-1400
Sole ProprietorNo
Enumeration DateJanuary 19, 2021
Last NPPES UpdateJuly 11, 20243 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1689264160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209.021824
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209021824 (IL)
702 W CHESTNUT ST, Bloomington, IL 61701
Open in Google Maps ↗

Secondary Practice Location 1

Location 1201 N UniversityNormal, IL 61790-0001 · Phone (309) 438-8655

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cindy Kohtz Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Cindy Kohtz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chestnut Health Systems Inc
1.3 mi
Rehabilitation, Substance Use Disorder
1003 MARTIN LUTHER KING DR
Bloomington, IL 61701
  • Reassigned Medicare billing, Illinois enrollment
  • 90 clinicians in this Medicare group
NPI 1366431686 (309) 827-6026

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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.

MRS. LISA DIANE NEUWEG MA, NCC
Counselor
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 827-6026
SINATA BECCA JINADU
Nurse Practitioner (Psychiatric/Mental Health)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 557-1400
MR. CHRISTOPHER G PERKINS L.C.P.C.
Counselor (Professional)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 827-6026
MS. CARRIE J ANDERSON MA LCPC
Counselor (Mental Health)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 827-6026
KATIE J YOUNG MSW, LCSW
Social Worker (Clinical)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 827-6026
KERRI MARSH LCPC
Counselor (Professional)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 827-6026
TAMAR GREENLY APRN
Nurse Practitioner (Psychiatric/Mental Health)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 557-1400
JENNY SHANNON RILEY B.A.
Counselor (Addiction (Substance Use Disorder))
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 827-6026

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 Cindy Kohtz's NPI number?

The NPI number for Cindy Kohtz is 1689264160. It was assigned to this individual provider in the NPPES registry on January 19, 2021.

Where is Cindy Kohtz located?

Cindy Kohtz practices at 702 W Chestnut St, Bloomington, IL 61701. The listed phone number is (309) 557-1400.

What is Cindy Kohtz's specialty?

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

Is Cindy Kohtz enrolled in Medicare?

Yes. Cindy Kohtz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cindy Kohtz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cindy Kohtz reassigns Medicare benefits to Chestnut Health Systems Inc (Bloomington, IL). The 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 Cindy Kohtz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Cindy Kohtz was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.