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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. CORY J HESS ACNP
NPI 1841518057
Nurse Practitioner - Acute Care in Effingham, IL

Active since May 12, 2010PECOS EnrolledAccepts Medicare Assignment
91.8/100
CMS Quality Rating
1303 W EVERGREEN AVE STE 201, EFFINGHAM, IL 62401(217) 347-1422(217) 342-3402 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Aug 21, 2026, Jan 20, 2023 and 3 more (6 updates tracked since 2015).

About Mr. Cory J Hess Acnp NPPES

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

MR. CORY J HESS ACNP (NPI 1841518057) is an individual acute care provider in Effingham, Illinois, licensed in Illinois (277-001116) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1841518057
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. CORY J HESSCredential: ACNP
Location Address1303 W EVERGREEN AVE STE 201Effingham, IL 62401-1638
Mailing Address602 W Franklin AveEffingham, IL 62401-2334 · (217) 636-1444
Phone(217) 347-1422
Fax(217) 342-3402
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 12, 2010
Last NPPES UpdateSeptember 29, 20266 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
✔ NPI 1841518057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in IL · 277-001116
1303 W EVERGREEN AVE STE 201, Effingham, IL 62401
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11000 Health Center DrMattoon, IL 61938-4644 · Phone (217) 238-4960 · Fax (217) 238-4951
Location 2602 W Franklin AveEffingham, IL 62401-2334 · Phone (217) 636-1444

Other Identifiers 2

Medicaid190421758AR
Medicaid101740050MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Mr. Cory J Hess Acnp 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 ID8820121080
PECOS Enrollment IDI20130502000370
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

3

Medicare enrollment records show Cory Hess reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hess Medical PLLC
0.9 mi
Acute Care
602 W FRANKLIN AVE
Effingham, IL 62401
  • Reassigned Medicare billing, Illinois enrollment
NPI 1306564307 (217) 636-1444
St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third
1.2 mi
General Acute Care Hospital
503 N MAPLE ST
Effingham, IL 62401
  • Reassigned Medicare billing, Illinois enrollment
  • 104 clinicians in this Medicare group
NPI 1306800602 (217) 347-1333
Sarah Bush Lincoln Health Center
29 mi
Family Medicine
1000 HEALTH CENTER DR
Mattoon, IL 61938
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1912988734 (Illinois)
  • 652 clinicians in this Medicare group
NPI 1568581379 (217) 258-2525

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
647 services400 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
92 services85 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
55 services51 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Fayette County Hospital

Critical Access Hospitals · Vandalia, IL
OwnershipVoluntary non-profit - Other
CMS Certification Number141346
Location650 W Taylor StVandalia, IL 62471 · Fayette County
Emergency services

Clay County Hospital

Critical Access Hospitals · Flora, IL
OwnershipGovernment - Local
CMS Certification Number141351
Location911 Stacy Burk DrFlora, IL 62839 · Clay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62401 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.

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.

91.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

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 Cory Hess's NPI number?

The NPI number for Cory Hess is 1841518057. It was assigned to this individual provider in the NPPES registry on May 12, 2010.

Where is Cory Hess located?

Cory Hess practices at 1303 W Evergreen Ave Ste 201, Effingham, IL 62401. The listed phone number is (217) 347-1422.

What is Cory Hess's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Cory Hess enrolled in Medicare?

Yes. Cory Hess 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 Cory Hess's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cory Hess reassigns Medicare benefits to 3 organizations: Hess Medical PLLC (Effingham, IL), St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third (Effingham, IL) and Sarah Bush Lincoln Health Center (Mattoon, 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 Cory Hess's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cory Hess accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Cory Hess 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 Cory Hess affiliated with any hospitals?

According to CMS data, Cory Hess is affiliated with St Anthonys Memorial Hospital, Sarah Bush Lincoln Health Center, Fayette County Hospital and Clay County Hospital.

When was this NPI record last updated?

The NPPES record for Cory Hess was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.