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JULIA LIGHT FNP
NPI 1730847971
Nurse Practitioner - Family in Mount Vernon, IL

Active since December 06, 2021PECOS EnrolledAccepts Medicare Assignment
12084 E HUTCHISON RD, MOUNT VERNON, IL 62864(814) 979-2775 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2022, Apr 13, 2022, Dec 6, 2021 (3 updates tracked since 2021).

About Julia Light Fnp NPPES

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

JULIA LIGHT FNP (NPI 1730847971) is an individual family provider in Mount Vernon, Illinois, licensed in Illinois (209.025022) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1730847971
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJULIA LIGHTCredential: FNP
Location Address12084 E HUTCHISON RDMount Vernon, IL 62864-7869
Mailing Address12084 E Hutchison RdMount Vernon, IL 62864-7869 · (814) 979-2775
Phone(814) 979-2775
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 6, 2021
Last NPPES UpdateMay 9, 20223 updates tracked since enumeration
NPPES CertifiedMay 9, 2022
✔ NPI 1730847971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.025022
12084 E HUTCHISON RD, Mount Vernon, IL 62864
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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

Julia Light Fnp 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 ID1153708581
PECOS Enrollment IDI20241107002218
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 Julia Light reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Renal Physicians Of Georgia PC
478 mi
Nephrology
165 EMERY HWY, 100
Macon, GA 31217
  • Reassigned Medicare billing, Georgia enrollment
  • 5 clinicians in this Medicare group
NPI 1851392476 (478) 741-2150

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 62864 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.

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 Julia Light's NPI number?

The NPI number for Julia Light is 1730847971. It was assigned to this individual provider in the NPPES registry on December 6, 2021.

Where is Julia Light located?

Julia Light practices at 12084 E Hutchison Rd, Mount Vernon, IL 62864. The listed phone number is (814) 979-2775.

What is Julia Light's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Julia Light enrolled in Medicare?

Yes. Julia Light 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 organization bills Medicare for Julia Light's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julia Light reassigns Medicare benefits to Renal Physicians Of Georgia PC (Macon, GA). 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 Julia Light'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 Julia Light was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.