Active NPI 1679118616 Individual Practitioner Female Practitioner

Erica Lyn Prater , MSN, APRN, FNP-BC

Nurse Practitioner • Mount Vernon, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Erica Prater, MSN, APRN, FNP-BC is a certified Nurse Practitioner practicing in Mount Vernon, IL. With approximately 7 years of clinical experience since graduating from University Of Alabama School Of Medicine in 2019, Erica Prater delivers high-quality medical care to the local community at 5 GOOD SAMARITAN WAY.

Erica Prater is affiliated with Physician Services Corporation Of Southern Illinois Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report, established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5 Good Samaritan Way

Mount Vernon, IL 628642402

Telephone 6188991264

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Mount Vernon, IL

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

7 Yrs +0.3 yrs vs City Avg

City Avg: 6.7 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

23 Specialists

Practicing in Mount Vernon, IL (4929 Statewide)

Telehealth Adoption Rate

8.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prater (7 Years) 7 Yrs

Mount Vernon Specialty Average (6.7 Years) 6.7 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
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	574	260	$140.40	$28.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	413	270	$235.49	$78.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	103	87	$315.09	$117.10
36415 Insertion of needle into vein for collection of blood sample	66	45	$22.00	$8.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	610	278	$140.40	$28.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	438	290	$236.05	$79.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	134	109	$316.32	$116.71
36415 Insertion of needle into vein for collection of blood sample	66	48	$22.00	$8.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$530.77	$145.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$376.30	$109.54

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	439	249	$222.24	$80.52
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	411	210	$133.61	$28.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	206	146	$299.44	$119.60
36415 Insertion of needle into vein for collection of blood sample	93	58	$20.17	$2.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$349.98	$113.78
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$504.47	$148.51

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	417	250	$221.93	$83.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	262	193	$285.04	$120.02
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	205	143	$132.00	$29.41
36415 Insertion of needle into vein for collection of blood sample	74	48	$20.00	$2.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$350.46	$110.81
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$123.41	$56.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$490.29	$147.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	36	35	$150.40	$43.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$275.00	$67.46
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	26	23	$132.00	$30.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	17	$385.00	$87.68
82962 Blood glucose (sugar) test performed by hand-held instrument	16	15	$45.00	$3.21

Medical Specialties & State Licenses

CMS Verified: 2020-11-10

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209022130

(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 - Family

NUCC Taxonomy Code: 363LF0000X

State License GA RN119280

Definition to come...

Hospital & Practice Group Affiliations

Physician Services Corporation Of Southern Illinois Inc

5 Good Samaritan Way, Mount Vernon, IL 628642414

Phone: 6188991264

Secondary Practice Locations

445 Providence Rd

Athens, GA 306061933

Phone: 7064100310

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Esther Schulz , DO

Family Medicine - Obesity Medicine

NPI 1093759730

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location November 10, 2020

Registered at 5 GOOD SAMARITAN WAY, MOUNT VERNON, IL 628642402 (Tel: 6188991264)

📍

Updated Business Mailing Address November 10, 2020

Registered at PO BOX 955860, SAINT LOUIS, MO 631951933 (Tel: 6364985944)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2020

Nurse Practitioner (License #209022130 in IL)

✅

NPI Profile Active November 13, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location November 13, 2019

Registered at 445 PROVIDENCE RD, ATHENS, GA 306061933 (Tel: 7064100310)

📍

Updated Business Mailing Address November 13, 2019

Registered at 445 PROVIDENCE RD, ATHENS, GA 306061933 (Tel: 7064100310)

👤

Provider Name / Credentials Updated November 13, 2019

Recorded as ERICA PRATER, MSN, APRN, FNP-BC

🎓

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

Nurse Practitioner (License #RN119280 in GA)

🟢

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: 1679118616

Entity Type:

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

Enumeration Date: November 13, 2019

Last Update: November 10, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 955860

Saint Louis, MO 631951933

Phone: 6364985944

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.