Cawonda Ranee Wilson, PMHNP-BC - Medicare Nurse Practitioner in Springfield, IL

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Cawonda Ranee Wilson, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Springfield, Illinois. Her current practice location is 2501 Chatham Rd, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (253) 922-4027.

Cawonda Ranee Wilson is licensed to practice in Illinois (license number 2023032312) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417648148.

Contact Information

Cawonda Ranee Wilson, PMHNP-BC
2501 Chatham Rd,
Springfield, IL 62704-4188
(253) 922-4027
(844) 222-0800

Map and Direction




Provider's Profile

Full NameCawonda Ranee Wilson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2501 Chatham Rd, Springfield, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417648148
  • Provider Enumeration Date: 05/15/2023
  • Last Update Date: 05/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3274994512
  • Enrollment ID: I20230802001846

Medical Identifiers

Medical identifiers for Cawonda Ranee Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417648148NPI-NPPES
209027707OtherILADVANCED NURSE PRACTITIONER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209027707 (Illinois)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 2023032312 (Illinois)Primary
2084P0800XPsychiatry & Neurology - Psychiatry 2023032312 (Illinois)Secondary
2084P0805XPsychiatry & Neurology - Geriatric Psychiatry 041469714 (Illinois)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Cawonda Ranee Wilson allows following entities to bill medicare on her behalf.
Entity NameLutheran Social Services of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063637684
PECOS PAC ID: 2163403551
Enrollment ID: O20050322001114
Entity NameTotal Care Solutions, SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447550603
PECOS PAC ID: 6002090933
Enrollment ID: O20110418000417
Entity NameInsight Physicians Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154966018
PECOS PAC ID: 3870922115
Enrollment ID: O20200407002803
Entity NameRenew Wound Care of Illinois PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578146882
PECOS PAC ID: 7315356219
Enrollment ID: O20210505002138
Entity NameCurana Health of Illinois PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891400156
PECOS PAC ID: 1456724434
Enrollment ID: O20230223000366
Entity NameCH Specialty Services Il PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922707702
PECOS PAC ID: 8224402482
Enrollment ID: O20230330000234
Entity NameSupportive Care of Illinois PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861199911
PECOS PAC ID: 7113392804
Enrollment ID: O20230411002061
Entity NameCmc Healthcare LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295432334
PECOS PAC ID: 4688039209
Enrollment ID: O20230503001140
Entity NamePost Acute Medical PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730713025
PECOS PAC ID: 5193156115
Enrollment ID: O20240124001161
Entity NameAltea Medical Illinois PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447039227
PECOS PAC ID: 5799129730
Enrollment ID: O20240219001371
Entity NameKane Wound Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275869802
PECOS PAC ID: 2567591274
Enrollment ID: O20251010002695

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cawonda Ranee Wilson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cawonda Ranee Wilson, PMHNP-BC
6823 Sussex Rd,
Tinley Park, IL 60477-1745

Ph: (708) 682-4748		Cawonda Ranee Wilson, PMHNP-BC
2501 Chatham Rd,
Springfield, IL 62704-4188

Ph: (253) 922-4027

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.