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Jasmine Baines , LSW

Social Worker β€’ Champaign, IL

Active NPI 1629671508 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1802 S Mattis Ave
Champaign, IL 618215923

Call 2173652855 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1802 S Mattis Ave

Champaign, IL 618215923

Telephone 2173652855
Organization at the Same NPPES Address or Phone
Carle Clinic Association, Pc Facility NPI 1003947557

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Champaign, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Carle Health Care Incorporated. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2019

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jasmine Baines has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jasmine Baines as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Champaign and Illinois

265 active clinicians are listed under Social Worker with a practice address in Champaign, IL (5,884 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Champaign

0.4% of these 265 clinicians have the CMS telehealth indicator.

2.6% of these 265 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-03-14
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES IL 150.104762

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20240117002442

Enrollment State Jurisdiction

IL

PECOS Control ID

9234581026

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Phone: 8887122753

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012500

Secondary Practice Locations

801 N Walnut St

Champaign, IL 618203055

Phone: 2173732430

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

16 listed
NPI 1053643064

Doctor of Philosophy (Ph.D.)

Dr. David Banayan , MD

Psychiatry & Neurology - Psychiatry

NPI 1366883555

Doctor of Medicine (M.D.)

Richelle Brown

Psychiatry & Neurology - Psychiatry

NPI 1225534167
Dr. Mercy Eigbike , MD

Psychiatry & Neurology - Psychiatry

NPI 1215463971

Doctor of Medicine (M.D.)

Lisa Ellingwood , APRN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1083255343

Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Jacqueline Henrichs

Social Worker - Clinical

NPI 1306105051

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location March 15, 2024

Registered at 1802 S MATTIS AVE, CHAMPAIGN, IL 618215923 (Tel: 2173652855)

πŸ“
Updated Business Mailing Address March 15, 2024

Registered at 611 W PARK ST, FAPC, URBANA, IL 618012500

βœ…
NPI Profile Active November 21, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 21, 2020

Registered at 801 N WALNUT ST, CHAMPAIGN, IL 618203055 (Tel: 2173732430)

πŸ“
Business Mailing Address (Initial Record) November 21, 2020

Registered at 1021 N MULFORD RD, ROCKFORD, IL 611073874

πŸ‘€
Provider Name / Credentials (Initial Record) November 21, 2020

Recorded as JASMINE BAINES, LSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2020

Social Worker (license number reported to NPPES: IL 150.104762)

🟒
Initial NPI Registration & Enumeration November 21, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629671508
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2020
Last Update: March 15, 2024
Sole Proprietor: No

Mailing Address

611 W Park St, Fapc

Urbana, IL 618012500

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.