1. Home
  2. Directory
  3. Illinois
  4. Fairbury
  5. Nurse Practitioner
  6. NPI Profile

ROBERT E WORTHEN APRN, FNP-BC
NPI 1942920129
Nurse Practitioner - Family in Fairbury, IL

Active since August 30, 2022PECOS EnrolledAccepts Medicare Assignment
115 E WALNUT ST, FAIRBURY, IL 61739(815) 692-2305 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 6, 2024, Jul 5, 2023, Aug 30, 2022 (3 updates tracked since 2022).

About Robert E Worthen Aprn, Fnp-bc NPPES

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

ROBERT E WORTHEN APRN, FNP-BC (NPI 1942920129) is an individual family provider in Fairbury, Illinois, licensed in Illinois (209.025857) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and maintains a secondary practice location in Normal.

NPPES Registry Identity

NPI1942920129
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameROBERT E WORTHENCredential: APRN, FNP-BC
Location Address115 E WALNUT STFairbury, IL 61739-1516
Mailing Address611 W. Park St, FapcUrbana, IL 61801
Phone(815) 692-2305
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 30, 2022
Last NPPES UpdateJune 6, 20243 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
✔ NPI 1942920129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.025857
Also ListedRegistered NurseTaxonomy 163W00000X · License 041.329183 (IL)
115 E WALNUT ST, Fairbury, IL 61739
Open in Google Maps ↗

Secondary Practice Location 1

Location 11302 Franklin Ave Ste 1100Normal, IL 61761-0016 · Phone (309) 258-0356

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

Robert E Worthen Aprn, Fnp-bc 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 ID3476926676
PECOS Enrollment IDI20230309001890
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 Robert Worthen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carle Bromenn Medical Center
30 mi
Clinic/Center
1300 FRANKLIN AVE STE 100
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 71 clinicians in this Medicare group
NPI 1104442615 (309) 454-1400
Carle West Physician Group Inc
30 mi
Family Medicine
1302 FRANKLIN AVE STE 3400
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 698 clinicians in this Medicare group
NPI 1467074138 (309) 556-8295
Carle Health Medical Group
46 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300

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 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.

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.
246 services95 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services19 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140127
Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County
Emergency services Birthing friendly

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61739 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.

Other Providers at the Same Location NPPES 2

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

MR. BRENTON WAYSTOUT FNP-BC
Nurse Practitioner (Family)
115 E WALNUT ST
FAIRBURY, IL 61739
Livingston County (815) 692-2305
BROMENN PHYSICIANS MANAGEMENT CORPORATION
Family Medicine
115 E WALNUT ST
FAIRBURY, IL 61739
Livingston County (815) 692-2305

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 Robert Worthen's NPI number?

The NPI number for Robert Worthen is 1942920129. It was assigned to this individual provider in the NPPES registry on August 30, 2022.

Where is Robert Worthen located?

Robert Worthen practices at 115 E Walnut St, Fairbury, IL 61739. The listed phone number is (815) 692-2305.

What is Robert Worthen's specialty?

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

Is Robert Worthen enrolled in Medicare?

Yes. Robert Worthen 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 Robert Worthen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Worthen reassigns Medicare benefits to 3 organizations: Carle Bromenn Medical Center (Normal, IL), Carle West Physician Group Inc (Normal, IL) and Carle Health Medical Group (Urbana, 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 Robert Worthen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Robert Worthen affiliated with any hospitals?

According to CMS data, Robert Worthen is affiliated with Carle Bromenn Medical Center and Saint James Hospital.

When was this NPI record last updated?

The NPPES record for Robert Worthen was last updated on June 6, 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.