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Active NPI 1104636539 Individual Practitioner Female Practitioner

Chancie Warren , PMHNP

Nurse Practitioner • Effingham, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Chancie Warren, PMHNP is a certified Nurse Practitioner practicing in Effingham, IL. With approximately 2 years of clinical experience since completing medical education in 2024, Chancie Warren delivers high-quality medical care to the local community at 900 W TEMPLE AVE STE 1500.

Chancie Warren is affiliated with Hshs Medical Group Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

900 W Temple Ave Ste 1500

Effingham, IL 624012121

Telephone 2173470458
Associated Practice Facility / Clinic
🏢 Hshs Medical Group Inc Facility NPI 1265904486

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Effingham, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -8.6 yrs vs City Avg
City Avg: 10.6 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
13 Specialists

Practicing in Effingham, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Warren (2 Years) 2 Yrs
Effingham Specialty Average (10.6 Years) 10.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-03-05
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209031536

(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.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License IL 041417657

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Hospital & Practice Group Affiliations

Hshs Medical Group Inc

1900 E Lake Shore Dr, Decatur, IL 625213848

Phone: 2174232889

Hshs Medical Group Inc

900 W Temple Ave, Effingham, IL 624012121

Phone: 2175402350

Practice Associates & Co-Workers

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

7 Associated Practitioners
Stephanie Jackson , APRN

Nurse Practitioner - Family

NPI 1073258380

Advanced Practice Registered Nurse

Susan Lamonica , APRN

Registered Nurse - Psychiatric/Mental Health

NPI 1104568369

Advanced Practice Registered Nurse

Jayne Morrison , APN

Nurse Practitioner - Family

NPI 1154697233

Advanced Practice Nurse

Dr. Eugene Dust , MD

Internal Medicine

NPI 1386604940

Doctor of Medicine (M.D.)

Dr. Elene Awad , MD PHD

Internal Medicine

NPI 1477543601

MDPHD

Dr. Andrew Poulos , MD

Family Medicine

NPI 1760801120

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address March 05, 2025

Registered at 900 W TEMPLE AVE STE 1500, EFFINGHAM, IL 624012121 (Tel: 2173470458)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2025

Nurse Practitioner (License #209031536 in IL)

NPI Profile Active January 08, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2025

Registered at 900 W TEMPLE AVE STE 1500, EFFINGHAM, IL 624012121 (Tel: 2173470458)

📍
Updated Business Mailing Address January 08, 2025

Registered at 604 E ORLANDO DR, ROBINSON, IL 624543614 (Tel: 6184218247)

👤
Provider Name / Credentials Updated January 08, 2025

Recorded as CHANCIE WARREN, PMHNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2025

Registered Nurse (License #041417657 in IL)

🟢
Initial NPI Registration & Enumeration January 08, 2025

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: 1104636539
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2025
Last Update: March 05, 2025
Sole Proprietor: No

Mailing Address

900 W Temple Ave Ste 1500

Effingham, IL 624012121

Phone: 2173470458

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.