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Active NPI 1073158119 Individual Practitioner Female Practitioner

Stacey Tebbe

Nurse Practitioner • Mattoon, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stacey Tebbe is a certified Nurse Practitioner practicing in Mattoon, IL. With approximately 7 years of clinical experience since completing medical education in 2019, Stacey Tebbe delivers high-quality medical care to the local community at 101 COLES CENTRE DR.

Stacey Tebbe maintains professional affiliations with Hshs Medical Group Inc, St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, removal of tissue from wound, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

101 Coles Centre Dr

Mattoon, IL 619389314

Telephone 2172345110

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Mattoon, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -3.6 yrs vs City Avg
City Avg: 10.6 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
15 Specialists

Practicing in Mattoon, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tebbe (7 Years) 7 Yrs
Mattoon Specialty Average (10.6 Years) 10.6 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
218 77 $251.00 $108.36
36415 Insertion of needle into vein for collection of blood sample
80 51 $20.00 $8.65
97597 Removal of tissue from wound, 20.0 sq cm or less
41 26 $193.78 $30.30
99221 Initial hospital inpatient care per day, typically 30 minutes
31 28 $200.00 $70.06
99213 Established patient office or other outpatient visit, typically 15 minutes
30 21 $178.00 $75.76
99213 Established patient office or other outpatient visit, typically 15 minutes
27 21 $192.07 $54.67
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
19 17 $43.00 $14.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
15 15 $330.00 $140.70
G0008 Administration of influenza virus vaccine
13 13 $37.00 $31.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
13 11 $355.00 $152.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $334.00 $115.39

Medical Specialties & State Licenses

CMS Verified: 2020-10-29
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209020253

(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.

Hospital & Practice Group Affiliations

Hshs Medical Group Inc

904 Medical Park Dr, Effingham, IL 624012193

Phone: 2175402350

St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third

503 N Maple St, Effingham, IL 624012006

Phone: 2173422121

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Andrew Gage , MD

Family Medicine

NPI 1013931567

Doctor of Medicine (M.D.)

Erica Ozier , APRN

Nurse Practitioner - Gerontology

NPI 1700607603

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location October 29, 2020

Registered at 101 COLES CENTRE DR, MATTOON, IL 619389314 (Tel: 2172345110)

📍
Updated Business Mailing Address October 29, 2020

Registered at 101 COLES CENTRE DR, MATTOON, IL 619389314 (Tel: 2172345110)

📍
Updated Practice Location May 19, 2020

Registered at 101 COLES CENTRE PARKWAY, MATTOON, IL 61938 (Tel: 2172345110)

📍
Updated Business Mailing Address May 19, 2020

Registered at 101 COLES CENTRE PARKWAY, MATTOON, IL 61938 (Tel: 2172345110)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2020

Nurse Practitioner (License #209020253 in IL)

NPI Profile Active November 13, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2019

Registered at 15755 N 1950TH ST, TEUTOPOLIS, IL 624673382 (Tel: 2178576134)

📍
Updated Business Mailing Address November 13, 2019

Registered at 15755 N 1950TH ST, TEUTOPOLIS, IL 624673382 (Tel: 2178576134)

👤
Provider Name / Credentials Updated November 13, 2019

Recorded as STACEY TEBBE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2019

Nurse Practitioner (License #209020253 in IL)

🟢
Initial NPI Registration & Enumeration November 13, 2019

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: 1073158119
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2019
Last Update: October 29, 2020
Sole Proprietor: No

Mailing Address

101 Coles Centre Dr

Mattoon, IL 619389314

Phone: 2172345110

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.