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ALICIA STODDARD FOLEY PMHNP-BC
NPI 1962236224
Nurse Practitioner - Psychiatric/Mental Health in Bloomington, IL

Active since August 29, 2024PECOS EnrolledAccepts Medicare Assignment
15 DOWNING CIR, BLOOMINGTON, IL 61704(815) 303-4560 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alicia Stoddard Foley Pmhnp-bc NPPES

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

ALICIA STODDARD FOLEY PMHNP-BC (NPI 1962236224) is an individual psychiatric/mental health provider in Bloomington, Illinois, licensed in Illinois (209-030301) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lasalle, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1962236224
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameALICIA STODDARD FOLEYCredential: PMHNP-BC
Location Address15 DOWNING CIRBloomington, IL 61704-7620
Mailing Address15 Downing CirBloomington, IL 61704-7620 · (815) 303-4560
Phone(815) 303-4560
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 29, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1962236224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209-030301
15 DOWNING CIR, Bloomington, IL 61704
Open in Google Maps ↗

Secondary Practice Location 1

Location 12428 Charles STLaSalle, IL 61301 · Phone (815) 780-8765

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Alicia Stoddard Foley Pmhnp-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 ID6002345980
PECOS Enrollment IDI20250122000897
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 Reassignment

Medicare enrollment records show Alicia Stoddard Foley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Life Balance Counseling And Wellness Inc
63 mi
Clinical
2428 CHARTRES ST
La Salle, IL 61301
  • Reassigned Medicare billing, Illinois enrollment
  • 10 clinicians in this Medicare group
NPI 1912409681 (309) 830-1096

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 61704 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.

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 Alicia Stoddard Foley's NPI number?

The NPI number for Alicia Stoddard Foley is 1962236224. It was assigned to this individual provider in the NPPES registry on August 29, 2024.

Where is Alicia Stoddard Foley located?

Alicia Stoddard Foley practices at 15 Downing Cir, Bloomington, IL 61704. The listed phone number is (815) 303-4560.

What is Alicia Stoddard Foley's specialty?

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

Is Alicia Stoddard Foley enrolled in Medicare?

Yes. Alicia Stoddard Foley 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 organization bills Medicare for Alicia Stoddard Foley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Stoddard Foley reassigns Medicare benefits to Life Balance Counseling And Wellness Inc (La Salle, IL). The 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 Alicia Stoddard Foley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alicia Stoddard Foley accept?

Health plans from Oscar Health list Alicia Stoddard Foley 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 Alicia Stoddard Foley was last updated on August 29, 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.