Active NPI 1568703593 Individual Practitioner Female Practitioner

Carole Vilchis , NP

Nurse Practitioner • Decatur, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Carole Vilchis, NP is a certified Nurse Practitioner practicing in Decatur, IL. With approximately 14 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 2012, Carole Vilchis delivers high-quality medical care to the local community at 1800 E LAKE SHORE DR.

Carole Vilchis is affiliated with Osf Multi-Specialty Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1800 E Lake Shore Dr

Decatur, IL 625213810

Telephone 2174645811

Fax 2174641318

Associated Practice Facility / Clinic

🏢 St Marys Hospital Decatur Of The Hospital Sisters Of The Third Order Facility NPI 1326041229

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Decatur, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +4.8 yrs vs City Avg

City Avg: 9.2 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

31 Specialists

Practicing in Decatur, IL (4929 Statewide)

Telehealth Adoption Rate

9.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vilchis (14 Years) 14 Yrs

Decatur Specialty Average (9.2 Years) 9.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	48	$224.61	$63.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	49	$371.00	$107.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	48	30	$338.00	$97.61
99221 Initial hospital inpatient care per day, typically 30 minutes	36	36	$239.14	$68.43
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	17	13	$182.00	$87.91
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	17	13	$270.00	$125.76
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	16	15	$138.00	$60.73
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	13	11	$88.00	$32.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	217	121	$155.29	$66.13
99238 Hospital discharge day management, 30 minutes or less	61	57	$124.00	$67.39
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$273.53	$69.58
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	13	$178.00	$99.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	15	$500.50	$59.27
99220 Hospital observation care, typically 70 minutes	18	18	$781.67	$149.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$774.00	$166.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	174	70	$177.69	$60.49
99238 Hospital discharge day management, 30 minutes or less	67	61	$196.60	$60.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	13	$163.35	$32.32
99217 Hospital observation care on day of discharge	14	14	$208.21	$60.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	343	129	$241.32	$62.28
99239 Hospital discharge day management, more than 30 minutes	86	80	$345.00	$91.42
99217 Hospital observation care on day of discharge	45	44	$255.00	$62.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	27	$533.00	$118.75
99238 Hospital discharge day management, 30 minutes or less	33	32	$276.00	$62.70
99225 Subsequent observation care, typically 25 minutes per day	30	24	$231.17	$62.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	25	$654.00	$173.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	14	$329.00	$89.41
99220 Hospital observation care, typically 70 minutes	11	11	$545.00	$158.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	233	107	$241.48	$61.78
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	98	49	$329.00	$88.57
99217 Hospital observation care on day of discharge	63	54	$255.00	$61.89
99239 Hospital discharge day management, more than 30 minutes	59	56	$345.00	$89.60
99238 Hospital discharge day management, 30 minutes or less	51	49	$276.00	$61.89
99225 Subsequent observation care, typically 25 minutes per day	49	31	$227.00	$62.25
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$396.00	$86.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$533.00	$116.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	136	81	$236.75	$61.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	68	43	$329.00	$87.73
99217 Hospital observation care on day of discharge	36	36	$255.00	$60.05
99239 Hospital discharge day management, more than 30 minutes	31	31	$345.00	$90.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$642.47	$170.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	23	$126.12	$33.09
99238 Hospital discharge day management, 30 minutes or less	27	26	$276.00	$61.19
99221 Initial hospital inpatient care per day, typically 30 minutes	27	26	$376.15	$85.76
99225 Subsequent observation care, typically 25 minutes per day	20	15	$227.00	$61.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$483.25	$115.29
99219 Hospital observation care, typically 50 minutes	12	12	$429.68	$114.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	189	111	$177.72	$60.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	179	78	$115.33	$32.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	39	$333.85	$114.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$459.00	$169.93
99239 Hospital discharge day management, more than 30 minutes	21	20	$257.00	$89.46
99220 Hospital observation care, typically 70 minutes	11	11	$396.00	$155.70

Medical Specialties & State Licenses

CMS Verified: 2025-04-17

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209010318

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License IL 209010318

Definition to come...

Hospital & Practice Group Affiliations

Osf Multi-Specialty Group

5666 E State St, Rockford, IL 611082425

Phone: 8159218929

Osf Multi-Specialty Group

8600 State Route 91, Peoria, IL 616157829

Phone: 3096835050

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Tatheer Zohra , MD

Internal Medicine

NPI 1457614430

Doctor of Medicine (M.D.)

Dr. Muhammad Raqeem , MD

Hospitalist

NPI 1598050494

Doctor of Medicine (M.D.)

Dr. Salim Shackour , MD

Internal Medicine

NPI 1760673099

Doctor of Medicine (M.D.)

Dr. Asad Ahmed , MD

Hospitalist

NPI 1770149387

Doctor of Medicine (M.D.)

Dr. Ibrahim Elemo , MD

Internal Medicine

NPI 1831478627

Doctor of Medicine (M.D.)

Dr. Stosh Eichenauer , MD

Internal Medicine

NPI 1932514106

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2025

Nurse Practitioner (License #209010318 in IL)

📍

Updated Practice Location November 23, 2020

Registered at 1800 E LAKE SHORE DR, DECATUR, IL 625213810 (Tel: 2174645811)

📍

Updated Business Mailing Address November 23, 2020

Registered at 1800 E LAKE SHORE DR, DECATUR, IL 625213810 (Tel: 2174645811)

✅

NPI Profile Active January 26, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 26, 2015

Registered at 2300 N EDWARD ST, DECATUR, IL 625264163 (Tel: 2178768121)

📍

Updated Business Mailing Address January 26, 2015

Registered at 2300 N EDWARD ST, DECATUR, IL 625264163 (Tel: 2178768121)

👤

Provider Name / Credentials Updated January 26, 2015

Recorded as CAROLE VILCHIS, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2015

Nurse Practitioner (License #209010318 in IL)

🟢

Initial NPI Registration & Enumeration March 15, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568703593

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 15, 2013

Last Update: April 17, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1800 E Lake Shore Dr

Decatur, IL 625213810

Phone: 2174645811

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.