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HEATHER RENEE IRELAN PMHNP-BC, FNP-C
NPI 1881139905
Nurse Practitioner - Psychiatric/Mental Health in Champaign, IL

Active since December 28, 2016PECOS EnrolledAccepts Medicare Assignment
805 BLOOMINGTON RD, CHAMPAIGN, IL 61820(217) 600-7165 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 15, 2024, Aug 2, 2024, Jul 11, 2024 and 4 more (7 updates tracked since 2016).

About Heather Renee Irelan Pmhnp-bc, Fnp-c NPPES

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

HEATHER RENEE IRELAN PMHNP-BC, FNP-C (NPI 1881139905) is an individual psychiatric/mental health provider in Champaign, Illinois, licensed in Illinois (277003170) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1881139905
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameHEATHER RENEE IRELANCredential: PMHNP-BC, FNP-C
Location Address805 BLOOMINGTON RDChampaign, IL 61820-2101
Mailing Address2501 Chatham Rd # 4686Springfield, IL 62704-4188 · (217) 681-3290
Phone(217) 600-7165
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 28, 2016
Last NPPES UpdateAugust 15, 20247 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1881139905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 277003170
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 277003170 (IL), 71007116A (IN)
805 BLOOMINGTON RD, Champaign, IL 61820
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12501 Chatham Rd # 4686Springfield, IL 62704-4188 · Phone (217) 681-3290
Location 2106 W Cumberland StGreenup, IL 62428-1072 · Phone (217) 681-3290

Other Identifiers 1

Other277.003170IL · Aprn-fpa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare, UnitedHealthcare.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

Heather Renee Irelan Pmhnp-bc, Fnp-c 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 ID547544280
PECOS Enrollment IDI20170710000085
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

2

Medicare enrollment records show Heather Irelan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Oaks Health Inc
76 mi
Federally Qualified Health Center (FQHC)
2323 FERRY STREET, FLOOR 2
Lafayette, IN 47904
  • Reassigned Medicare billing, Indiana enrollment
  • 93 clinicians in this Medicare group
NPI 1134901135 (866) 682-5539
Albert C. Lee, M.D., P.C.
77 mi
Neurology
3731 ROME DR, SUITE A
Lafayette, IN 47905
  • Reassigned Medicare billing, Indiana enrollment
  • 3 clinicians in this Medicare group
NPI 1013047042 (765) 448-3040

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 61820 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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
66%41 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
63%64 patients3/55-star benchmark: 85%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
60%164 patients3/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Heather Irelan's NPI number?

The NPI number for Heather Irelan is 1881139905. It was assigned to this individual provider in the NPPES registry on December 28, 2016.

Where is Heather Irelan located?

Heather Irelan practices at 805 Bloomington Rd, Champaign, IL 61820. The listed phone number is (217) 600-7165.

What is Heather Irelan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Heather Irelan enrolled in Medicare?

Yes. Heather Irelan 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 Heather Irelan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Irelan reassigns Medicare benefits to 2 organizations: Valley Oaks Health Inc (Lafayette, IN) and Albert C. Lee, M.D., P.C. (Lafayette, 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 Heather Irelan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Irelan accept?

Health plans from CareSource, Cigna Healthcare and UnitedHealthcare list Heather Irelan 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.

When was this NPI record last updated?

The NPPES record for Heather Irelan was last updated on August 15, 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.