ROSS HERDES MSN, NP-C
NPI 1902387210
Nurse Practitioner in Fairfield, IL

Active since August 24, 2018PECOS EnrolledAccepts Medicare Assignment
213 NW 10TH ST, FAIRFIELD, IL 62837(618) 842-2611 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 8, 2018, Oct 9, 2018, Aug 24, 2018 (3 updates tracked since 2018).

About Ross Herdes Msn, Np-c NPPES

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

ROSS HERDES MSN, NP-C (NPI 1902387210) is an individual nurse practitioner in Fairfield, Illinois, licensed in Illinois (209018435) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with Fairfield Memorial Hospital 1, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1902387210
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameROSS HERDESCredential: MSN, NP-C
Location Address213 NW 10TH STFairfield, IL 62837-1219
Mailing Address213 Nw 10th St Ste AFairfield, IL 62837-1219
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 24, 2018
Last NPPES UpdateNovember 8, 20183 updates tracked since enumeration
NPI 1902387210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209018435
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.

213 NW 10TH ST, Fairfield, IL 62837

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ross Herdes Msn, Np-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 ID3375884224
PECOS Enrollment IDI20190403001077
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.

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 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.
200 services81 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.
135 services102 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
88 services78 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Fairfield Memorial Hospital 1

Critical Access Hospitals · Fairfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141311
Location303 N W 11th StreetFairfield, IL 62837 · Wayne County
Emergency services

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62837 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$921.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier43 claims43 services$119.32 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$27.05 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier43 claims43 services$38.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Family Medicine
213 NW 10TH ST
FAIRFIELD, IL 62837
Internal Medicine (Cardiovascular Disease)
213 NW 10TH ST
FAIRFIELD, IL 62837
Family Medicine
213 NW 10TH ST, SUITE A
FAIRFIELD, IL 62837
Nurse Practitioner (Family)
213 NW 10TH ST
FAIRFIELD, IL 62837
Nurse Practitioner (Psychiatric/Mental Health)
213 NW 10TH ST
FAIRFIELD, IL 62837
Nurse Practitioner (Psychiatric/Mental Health)
213 NW 10TH ST
FAIRFIELD, IL 62837
Clinic/Center (Rural Health)
213 NW 10TH ST, SUITE A
FAIRFIELD, IL 62837

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 Ross Herdes's NPI number?

The NPI number for Ross Herdes is 1902387210. It was assigned to this individual provider in the NPPES registry on August 24, 2018.

Where is Ross Herdes located?

Ross Herdes practices at 213 NW 10th St, Fairfield, IL 62837. The listed phone number is (618) 842-2611.

What is Ross Herdes's specialty?

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

Is Ross Herdes enrolled in Medicare?

Yes. Ross Herdes 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.

What insurance does Ross Herdes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Ross Herdes 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 Ross Herdes affiliated with any hospitals?

According to CMS data, Ross Herdes is affiliated with Fairfield Memorial Hospital 1 and Deaconess Hospital Inc.

When was this NPI record last updated?

The NPPES record for Ross Herdes was last updated on November 8, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.