MR. DANIEL THOMAS FOUTCH (APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1669149134

MR. DANIEL THOMAS FOUTCH (APRN, PMHNP-BC) is a healthcare provider. based in Champaign, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, PMHNP-BC. They hold a License No. 209023867 (IL). The NPI Number for MR. DANIEL THOMAS FOUTCH (APRN, PMHNP-BC) is 1669149134

Main info

Male
Sole Proprietor
5 Years Of Experience
Name
MR. DANIEL THOMAS FOUTCH (APRN, PMHNP-BC)
NPI
1669149134
Phone
(217) 377-0299
Address
328 N NEIL ST STE C
Enumeration Date
24 August 2021
Last Update Date
21 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2175312736
Graduation Year
2021 (5 years ago)
PAC ID
4880084607
Group Practice PAC ID
1850706748
Professional Enrollment ID
I20211209000207
Address ID
IL618217047CH2506XDRXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MR. DANIEL THOMAS FOUTCH (APRN, PMHNP-BC)

  • 328 N NEIL ST STE C

    CHAMPAIGN, IL 618203614

    Phone: (217) 377-0299

    Fax: (217) 492-8588

    Type: Mailing

  • 809 W CHURCH ST

    CHAMPAIGN, IL 618203320

    Phone: (217) 530-5608

    Type: Mailing

  • 1204 E OAK ST STE 2-2

    MAHOMET, IL 618532795

    Phone: (217) 530-5608

    Fax: (309) 981-8714

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 71 Open Payments records for all available years, with a total value of $1,667.

Total Amount is formed as General ($1,667) + Research ($0) + Ownership ($0) = $1,667.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($535).

Total Amount

$1,667

General + Research + Ownership

Payments

71

Total payment records

General Amount

$1,667

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211209000207INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2817$0
View full utilization report →

Insurance plans in this area (ZIP 61820)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850706748View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

Does MR. DANIEL THOMAS FOUTCH (APRN, PMHNP-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. DANIEL THOMAS FOUTCH (APRN, PMHNP-BC) uses 1669149134.
Can I rely on MR. DANIEL THOMAS FOUTCH (APRN, PMHNP-BC) being an active provider?
As of the registry snapshot, MR. DANIEL THOMAS FOUTCH (APRN, PMHNP-BC) is marked active.
What is MR. DANIEL THOMAS FOUTCH (APRN, PMHNP-BC)'s specialty?
The listing groups MR. DANIEL THOMAS FOUTCH (APRN, PMHNP-BC) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MR. DANIEL THOMAS FOUTCH (APRN, PMHNP-BC) serve?
MR. DANIEL THOMAS FOUTCH (APRN, PMHNP-BC)'s listing highlights Champaign, Illinois; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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