MS. STEPHANIE FRANKLIN PA
NPI 1689626095
Nurse Practitioner in Eldorado, IL
About Ms. Stephanie Franklin Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. STEPHANIE FRANKLIN PA (NPI 1689626095) is an individual nurse practitioner in Eldorado, Illinois, licensed in Illinois (209002554) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
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
Ms. Stephanie Franklin Pa 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.
Medicare Billing Reassignments
2Medicare enrollment records show Stephanie Franklin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Eldorado, IL 62930
- Reassigned Medicare billing, Illinois enrollment
- 44 clinicians in this Medicare group
Carbondale, IL 62901
- Reassigned Medicare billing, Illinois enrollment
- 702 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Herrin Hospital
Acute Care Hospitals · Herrin, ILMemorial Hospital Of Carbondale
Acute Care Hospitals · Carbondale, ILHarrisburg Medical Center
Acute Care Hospitals · Harrisburg, ILFerrell Hospital Community Foundations
Critical Access Hospitals · Eldorado, ILDeaconess Hospital Inc
Acute Care Hospitals · Evansville, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62930 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 8
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELDORADO, IL 62930
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 Stephanie Franklin's NPI number?
The NPI number for Stephanie Franklin is 1689626095. It was assigned to this individual provider in the NPPES registry on May 16, 2006.
Where is Stephanie Franklin located?
Stephanie Franklin practices at 1007 Us Highway 45 N, Eldorado, IL 62930. The listed phone number is (618) 273-7723.
What is Stephanie Franklin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Stephanie Franklin enrolled in Medicare?
Yes. Stephanie Franklin 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 Stephanie Franklin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Franklin reassigns Medicare benefits to 2 organizations: Harrisburg Medical Center Inc (Eldorado, IL) and Southern Illinois Medical Services, Nfp (Carbondale, 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 Stephanie Franklin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephanie Franklin accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Stephanie Franklin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Stephanie Franklin affiliated with any hospitals?
According to CMS data, Stephanie Franklin is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale, Harrisburg Medical Center, Ferrell Hospital Community Foundations and Deaconess Hospital Inc.
When was this NPI record last updated?
The NPPES record for Stephanie Franklin was last updated on June 10, 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.