ELISE WESSOL D.O.
NPI 1972984698
Family Medicine - Addiction Medicine in Urbana, IL

Q: What is Elise Wessol's NPI number?

The NPI number for Elise Wessol is 1972984698. It was assigned to this individual provider in the NPPES registry on June 18, 2015.

Q: What is Elise Wessol's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Q: When was this NPI record last updated?

The NPPES record for Elise Wessol was last updated on December 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since June 18, 2015PECOS EnrolledAccepts Medicare Assignment

204 W UNIVERSITY AVE, URBANA, IL 61801(217) 383-6039(217) 328-3581 Get Directions Write a Review

NPPES record last updated: December 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 24, 2024, May 13, 2023, Dec 4, 2019 and 1 more (4 updates tracked since 2019).

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About Elise Wessol D.o. NPPES

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

ELISE WESSOL D.O. (NPI 1972984698) is an individual addiction medicine provider in Urbana, Illinois, licensed in Illinois (036150604) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1972984698

Entity TypeIndividualFemale

Primary Taxonomy207QA0401X

Provider Legal NameELISE WESSOLCredential: D.O.

Location Address204 W UNIVERSITY AVEUrbana, IL 61801-1741

Mailing Address611 W Park, FapcUrbana, IL 61802 · (217) 902-6954 · Fax (217) 902-7711

Phone(217) 383-6039

Fax(217) 328-3581

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateJune 18, 2015

Last NPPES UpdateDecember 24, 20244 updates tracked since enumeration

NPPES CertifiedDecember 19, 2024

✔ NPI 1972984698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

License✔ Licensed in IL · 036150604

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 125.067468 (IL), 036150604 (IL)

Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License 036-150604 (IL)

204 W UNIVERSITY AVE, Urbana, IL 61801

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Secondary Practice Locations 4

Location 1151 N Main StDecatur, IL 62523-1206 · Phone (217) 362-6262 · Fax (217) 362-6290

Location 227W350 High Lake RdWinfield, IL 60190-1262 · Phone (630) 933-4000 · Fax (630) 933-1933

Location 31813 W Kirby Ave Ste 120Champaign, IL 61821 · Phone (217) 383-3490

Location 4436 Sunrise Hill RdCarlyle, IL 62231-6809 · Phone (618) 806-4527

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

Elise Wessol D.o. 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 ID8426355231

PECOS Enrollment IDI20191030002836

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.

Hospital Affiliations CMS Care Compare

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140091

Location611 West Park StreetUrbana, IL 61801 · Champaign County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

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 6

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

MS. NANCY MARIE CHARPENTIER-PROBST LCSW

Social Worker (Clinical)