STEVEN P NAYLOR NP
NPI 1609156967
Nurse Practitioner - Acute Care in Danville, IL

NPI Status: Active since August 18, 2011

Contact Information

1900 E MAIN ST
DANVILLE, IL
ZIP 61832
Phone: (217) 554-4182
Fax: (217) 554-4820

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  • Individual
  • Male
  • Years of Experience 15
  • Nurse Practitioner
  • Acute Care
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About STEVEN NAYLOR

This page provides the complete NPI Profile along with additional information for Steven Naylor, a provider established in Danville, Illinois with a medical specialization in Nurse Practitioner, focusing in acute care and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1609156967 assigned on August 2011. The practitioner's primary taxonomy code is 363LA2100X with license number 209008971 (IL). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1609156967
Provider Name
STEVEN P NAYLOR NP
Gender
Male
Entity Type
Individual
Location Address
1900 E MAIN ST DANVILLE, IL 61832
Location Phone
(217) 554-4182
Location Fax
(217) 554-4820
Mailing Address
1900 E MAIN ST DANVILLE, IL 61832
Mailing Phone
(217) 554-4182
Mailing Fax
(217) 554-4820
Medical School Name
OTHER
Graduation Year
2011
Is Sole Proprietor?
No
Enumeration Date
08-18-2011
Last Update Date
03-12-2019
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A nurse practitioner (NP) like Steven Naylor is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 611 W Park St
    Urbana, IL 61801
    (217) 383-3129

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Acute Care

Taxonomy Code
363LA2100X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
209008971
License State
IL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Steven Naylor is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Steven Naylor is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2567634868

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220111002187

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.42 for a new patient copayment and $24.31 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 61832 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.71
  • Minimum New Patient Price $54.8
  • Maximum New Patient Price $168.44
  • Average New Patient Copayment $21.42
  • Minimum New Patient Copayment $13.7
  • Maximum New Patient Copayment $42.11

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.25
  • Minimum Established Patient Price $17.16
  • Maximum Established Patient Price $136.56
  • Average Established Patient Copayment $24.31
  • Minimum Established Patient Copayment $4.29
  • Maximum Established Patient Copayment $34.14

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Steven Naylor is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO4700 ALLIANCE BOULEVARD
PLANO, TX 75093
(469) 814-2000Acute Care Hospitals

Reviews for STEVEN P NAYLOR NP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609156967
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26092512912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 2 + 5 + 1 + 2 + 9 + 1 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1609156967 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174515498DR. DONALD CRAIG TIGCHELAAR D.D.S.
Individual
Dentist1900 E MAIN ST VA ILLIANA HEALTHCARE SYSTEM
DANVILLE, IL 61832
(217) 554-4516
1790759033DR. KOLALA VASUDEVAMURTHY M.D.
Individual
Internal Medicine (Cardiovascular Disease)1900 E MAIN ST VA ILLIANA HCS
DANVILLE, IL 61832
(217) 554-5495
1699737585MR. WAYNE THOMAS WING PA-C
Individual
Physician Assistant (Surgical)1900 E MAIN ST SURGICAL SERVICE
DANVILLE, IL 61832
(217) 554-5467
1699730630MRS. BETH PERALTA MS, RD, LDN
Individual
Dietitian, Registered1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-3000
1780626952MRS. SUSAN M ROBERTS M.A., CCC-SLP
Individual
Speech-Language Pathologist1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-5621
1982647046 GARY ALAN VANHUYSEN OTR
Individual
Occupational Therapist1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-5243
1144257858 KATHERINE JOANNE GOOD RIGGS RPT
Individual
Physical Therapist1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-5231
1821004169MS. MONICA G GRANT MA, CCC-A, FAAA
Individual
Audiologist1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-4522
1790794428DR. LINDA BLACK SHUMAKER PHARMD
Individual
Pharmacist1900 E MAIN ST 119
DANVILLE, IL 61832
(217) 554-4239
1538178702DR. JON GEORGE LEGRANT PHARM.D.
Individual
Pharmacist1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-5342
1184633109DR. ANDREW E SCHAEFER PHARM.D.
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)1900 E MAIN ST OUTPATIENT PHARMACY
DANVILLE, IL 61832
(217) 554-4264
1275543019MS. DARLENE L ETTER L.C.S.W
Individual
Social Worker (Clinical)1900 E MAIN ST
DANVILLE, IL 61832
(217) 442-8000
1376553818 KIMBERLY ANN KELLEY MSW,LCSW
Individual
Social Worker (Clinical)1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-5137
1487664611MR. THOMAS F SHUMAKER PRH
Individual
Pharmacist1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-3128
1972513042MRS. SUSAN L VENTER LMSW
Individual
Social Worker1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-5527
1649281411DR. ANIL B GOPINATH MD
Individual
Internal Medicine1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-3000
1578575528MRS. JUDITH ANN PHILLIPPE LCSW
Individual
Social Worker (Clinical)1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-4867
1396756672DR. WILLIAM MICHAEL KENNY M.D.
Individual
Specialist1900 E MAIN ST 1900 E. MAIN STREET
DANVILLE, IL 61832
(217) 442-8000
1508877804DR. RICHARD C. SHEPHERD PH.D.
Individual
Psychologist1900 E MAIN ST
DANVILLE, IL 61832
(309) 497-0790
1790797769 PATRICIA L TODD APN, CNP
Individual
Nurse Practitioner1900 E MAIN ST
DANVILLE, IL 61832
(217) 554-3173

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609156967, enumerated in the NPI registry as an "individual" on August 18, 2011

The provider is located at 1900 E Main St Danville, Il 61832 and the phone number is (217) 554-4182

The provider's speciality is Nurse Practitioner with taxonomy code 363LA2100X with a focus in Acute Care

The provider has more than 15 years of experience.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $85.71 with an average copayment of $21.42 for new patient appointments. Established patients should expect a typical charge of $97.25 and an average copayment of 24.31. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on August 18, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.