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VIRGINIA B HEMELT MD
NPI 1710984638
Psychiatry & Neurology - Neurology in Crystal Lake, IL

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
750 E TERRA COTTA AVE, CRYSTAL LAKE, IL 60014(815) 455-1800(815) 455-1875 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 11, 2024, Oct 17, 2022, Jun 9, 2022 and 1 more (4 updates tracked since 2019).

About Virginia B Hemelt Md NPPES

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

VIRGINIA B HEMELT MD (NPI 1710984638) is an individual neurology provider in Crystal Lake, Illinois, licensed in Indiana (01047250A) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1710984638
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameVIRGINIA B HEMELTCredential: MD
Location Address750 E TERRA COTTA AVECrystal Lake, IL 60014-3621
Mailing Address3217 W Alto RdKokomo, IN 46902-4609 · (765) 438-0832
Phone(815) 455-1800
Fax(815) 455-1875
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 7, 2005
Last NPPES UpdateOctober 11, 20244 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
✔ NPI 1710984638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in IN · 01047250A✔ Licensed in IL · 036140603
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
750 E TERRA COTTA AVE, Crystal Lake, IL 60014
Open in Google Maps ↗

Secondary Practice Locations 2

Location 111104 Parkview Circle Dr Ste 110Fort Wayne, IN 46845-1673 · Phone (260) 425-6780 · Fax (260) 425-6789
Location 2351 Delnor Dr Ste 401Geneva, IL 60134-4235 · Phone (630) 933-4056 · Fax (630) 938-4370

Other Identifiers 1

Medicaid200158180IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., CareSource.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

Virginia B Hemelt Md 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 ID1456346717
PECOS Enrollment IDI20060206000846
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

5

Medicare enrollment records show Virginia Hemelt reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwestern Medical Faculty Foundation
14 mi
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
NPI 1346235314 (855) 694-2866
Central Dupage Physician Group
30 mi
Family Medicine
5777 DEPARTMENT
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 1,664 clinicians in this Medicare group
NPI 1033149844 (630) 933-3300
Carle West Physician Group Inc
126 mi
Family Medicine
1302 FRANKLIN AVE STE 3400
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 698 clinicians in this Medicare group
NPI 1467074138 (309) 556-8295
Parkview Health System,inc
172 mi
Family Medicine
2003 STULTS RD STE 100
Huntington, IN 46750
  • Reassigned Medicare billing, Indiana enrollment
  • 1,752 clinicians in this Medicare group
NPI 1467779124 (260) 356-5424
Baptist Health Medical Group, Inc.
303 mi
Family Medicine
3516 E 10TH ST
Jeffersonville, IN 47130
  • Reassigned Medicare billing, Kentucky enrollment
  • Also billed through NPI 1093338527 (Kentucky)
  • 1,441 clinicians in this Medicare group
NPI 1811648827 (502) 981-8970

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 4

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
93 services67 patients
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.
82 services63 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
73 services72 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
42 services42 patients

Hospital Affiliations CMS Care Compare 5

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Dekalb Hospital

Acute Care Hospitals · Auburn, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150045
Location1316 E Seventh StAuburn, IN 46706 · De Kalb County
Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150101
Location1260 E Sr 205Columbia City, IN 46725 · Whitley County
Emergency services Birthing friendly

Parkview Wabash Hospital, Inc

Critical Access Hospitals · Wabash, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151310
Location10 John Kissinger DriveWabash, IN 46992 · Wabash County
Emergency services Birthing friendly

Parkview Lagrange Hospital

Critical Access Hospitals · Lagrange, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151323
Location207 N Townline RdLagrange, IN 46761 · Lagrange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60014 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
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 6

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

MRS. REBECCA E CHESKI ATC
Specialist/Technologist (Athletic Trainer)
750 E TERRA COTTA AVE, SUITE C
CRYSTAL LAKE, IL 60014
McHenry County (815) 455-0800
MR. KEVIN FRANKLIN BARNES A.T.C./L.
Specialist/Technologist (Athletic Trainer)
750 E TERRA COTTA AVE
CRYSTAL LAKE, IL 60014
McHenry County (815) 455-0800
MERCY HEALTH SYSTEM CORPORATION
Durable Medical Equipment & Medical Supplies
750 E TERRA COTTA AVE, STE B
CRYSTAL LAKE, IL 60014
McHenry County (815) 459-1212
MRS. MICHELLE LEE SANFILIPPO PA-C
Physician Assistant
750 E TERRA COTTA AVE, CENTEGRA NEUROLOGY
CRYSTAL LAKE, IL 60014
McHenry County (815) 338-6600
MCENEANEY & LESNIAK ASSOCIATES
Clinic/Center (Primary Care)
750 E TERRA COTTA AVE
CRYSTAL LAKE, IL 60014
McHenry County (847) 639-5800
MR. JEREMY A HOUTAKKER P.A.
Physician Assistant (Surgical)
750 E TERRA COTTA AVE, SUITE C
CRYSTAL LAKE, IL 60014
McHenry County (815) 455-0800

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 Virginia Hemelt's NPI number?

The NPI number for Virginia Hemelt is 1710984638. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Virginia Hemelt located?

Virginia Hemelt practices at 750 E Terra Cotta Ave, Crystal Lake, IL 60014. The listed phone number is (815) 455-1800.

What is Virginia Hemelt's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Virginia Hemelt enrolled in Medicare?

Yes. Virginia Hemelt 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 Virginia Hemelt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Virginia Hemelt reassigns Medicare benefits to 5 organizations: Northwestern Medical Faculty Foundation (Carol Stream, IL), Central Dupage Physician Group (Carol Stream, IL), Carle West Physician Group Inc (Normal, IL), Parkview Health System,inc (Huntington, IN) and Baptist Health Medical Group, Inc. (Jeffersonville, IN). 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 Virginia Hemelt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Virginia Hemelt accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and CareSource list Virginia Hemelt 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 Virginia Hemelt affiliated with any hospitals?

According to CMS data, Virginia Hemelt is affiliated with Parkview Regional Medical Center, Parkview Dekalb Hospital, Parkview Whitley Hospital, Parkview Wabash Hospital, Inc and Parkview Lagrange Hospital.

When was this NPI record last updated?

The NPPES record for Virginia Hemelt was last updated on October 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.