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KACIE L DAWSON AGPCNP
NPI 1962123646
Nurse Practitioner - Gerontology in Springfield, IL

Active since September 09, 2022PECOS EnrolledAccepts Medicare Assignment
319 E MADISON ST STE 1F, SPRINGFIELD, IL 62701(217) 545-8000 Get Directions Write a Review

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

Record update history: Feb 9, 2023, Sep 9, 2022 (2 updates tracked since 2022).

About Kacie L Dawson Agpcnp NPPES

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

KACIE L DAWSON AGPCNP (NPI 1962123646) is an individual gerontology provider in Springfield, Illinois, licensed in Illinois (209.025658) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1962123646
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKACIE L DAWSONCredential: AGPCNP
Location Address319 E MADISON ST STE 1FSpringfield, IL 62701-3118
Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000
Phone(217) 545-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 9, 2022
Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
✔ NPI 1962123646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in IL · 209.025658
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209.025658 (IL)
319 E MADISON ST STE 1F, Springfield, IL 62701
Open in Google Maps ↗

Other Names 1

Former Name (1)Kacie L Shaefer

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

Kacie L Dawson Agpcnp 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 ID6709262041
PECOS Enrollment IDI20221010002846
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 Kacie Dawson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Board Of Trustees Of Southern Illinois University
0.5 mi
Primary Care
520 N 4TH ST
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 262 clinicians in this Medicare group
NPI 1396097960 (217) 757-8100
Ameriwound Physicians Il LLC
183 mi
General Practice
4957 OAKTON ST, #306
Skokie, IL 60077
  • Reassigned Medicare billing, Illinois enrollment
  • 27 clinicians in this Medicare group
NPI 1104245893 (216) 273-9800

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 62701 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 20

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

DR. JAMIE WALLMAN MD
Family Medicine
319 E MADISON ST STE 1F
SPRINGFIELD, IL 62701
Sangamon County (217) 545-8000
KIMBERLY CURRIE FNP-BC
Nurse Practitioner (Family)
319 E MADISON ST STE 1F
SPRINGFIELD, IL 62701
Sangamon County (217) 545-8000
OLIVIA ANN DELAY FNP-C
Nurse Practitioner (Family)
319 E MADISON ST STE 1F
SPRINGFIELD, IL 62701
Sangamon County (217) 545-8000
JAMEY A BAIETTO RD
Dietitian, Registered
319 E MADISON ST STE 1F
SPRINGFIELD, IL 62701
Sangamon County (217) 788-3948
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
Clinic/Center (Federally Qualified Health Center (FQHC))
319 E MADISON ST STE 1F
SPRINGFIELD, IL 62701
Sangamon County (217) 545-8000
ELIZABETH STEERE LCPC
Counselor (Professional)
319 E MADISON ST STE 1F
SPRINGFIELD, IL 62701
Sangamon County (217) 545-8000
ALEXANDRA MARIE ISHMAEL LICENSED DIETITIAN
Dietitian, Registered
319 E MADISON ST STE 1F
SPRINGFIELD, IL 62701
Sangamon County (217) 788-3948
JESSICA E LUCCA AGACNP-BC
Nurse Practitioner (Acute Care)
319 E MADISON ST STE 1F
SPRINGFIELD, IL 62701
Sangamon County (217) 788-3948

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 Kacie Dawson's NPI number?

The NPI number for Kacie Dawson is 1962123646. It was assigned to this individual provider in the NPPES registry on September 9, 2022. The provider is also known as Kacie L Shaefer.

Where is Kacie Dawson located?

Kacie Dawson practices at 319 E Madison St Ste 1F, Springfield, IL 62701. The listed phone number is (217) 545-8000.

What is Kacie Dawson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kacie Dawson enrolled in Medicare?

Yes. Kacie Dawson 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 Kacie Dawson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kacie Dawson reassigns Medicare benefits to 2 organizations: Board Of Trustees Of Southern Illinois University (Springfield, IL) and Ameriwound Physicians Il LLC (Skokie, 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 Kacie Dawson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kacie Dawson accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kacie Dawson 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 Kacie Dawson was last updated on October 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.