OCCULT MENTAL HEALTH PLLC
NPI 1720857865
Nurse Practitioner in Tremont, IL

Active since January 01, 2024
123 S SAMPSON ST, TREMONT, IL 61568(309) 706-1921 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 12, 2026, Mar 11, 2025, Jan 4, 2024 (3 updates tracked since 2024).

About Occult Mental Health Pllc NPPES

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

OCCULT MENTAL HEALTH PLLC (NPI 1720857865) is a healthcare organization registered as a nurse practitioner in Tremont, Illinois and active in the NPI registry since January 2024. The organization lists Dagny Michel, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1720857865
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameOCCULT MENTAL HEALTH PLLC
Location Address123 S SAMPSON STTremont, IL 61568-8035
Mailing Address25452 Hickory CtTremont, IL 61568-9148
Organization SubpartNo
Authorized OfficialDagny MichelCeo/owner · (309) 706-1921
Enumeration DateJanuary 1, 2024
Last NPPES UpdateJanuary 12, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1720857865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
123 S SAMPSON ST, Tremont, IL 61568

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Occult Mental Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Occult Mental Health PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Clinical Social Worker
NPI 1295610103
123 S SAMPSON ST
Tremont, IL 61568
(309) 929-2030
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366910424
123 S SAMPSON ST
Tremont, IL 61568
(309) 929-2030
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1063846467
123 S SAMPSON ST
Tremont, IL 61568
(309) 929-2030
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215624200
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5522
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1427451624
834 N SEMINARY ST STE 502
Galesburg, IL 61401
(309) 343-2262
✔ PECOS✔ Accepts Medicare55 mi

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

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 Occult Mental Health PLLC's NPI number?

The NPI number for Occult Mental Health PLLC is 1720857865. It was assigned to this organization in the NPPES registry on January 1, 2024.

Where is Occult Mental Health PLLC located?

Occult Mental Health PLLC is located at 123 S Sampson St, Tremont, IL 61568. The listed phone number is (309) 706-1921.

What is Occult Mental Health PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Occult Mental Health PLLC enrolled in Medicare?

Yes. Occult Mental Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Occult Mental Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Occult Mental Health PLLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (4) and Clinical Social Worker (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Occult Mental Health PLLC was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.