MRS. DEANNE C RIECKENBERG (APRN) – Family Nurse Practitioner, NPI 1003881244

MRS. DEANNE C RIECKENBERG (APRN) is a healthcare provider. based in Sparta, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 209005645 (IL). The NPI Number for MRS. DEANNE C RIECKENBERG (APRN) is 1003881244

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DEANNE C RIECKENBERG (APRN)
NPI
1003881244
Phone
(618) 443-4889
Address
215 S BURNS AVE
Enumeration Date
21 February 2006
Last Update Date
4 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184434889
Graduation Year
2005 (21 years ago)
PAC ID
5092811232
Group Practice PAC ID
6709870462
Professional Enrollment ID
I20070503000525
Address ID
IL622861894SP215XXAVEX400

Contacts

Secure Messaging
smo@spartahospital.hin.us
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for MRS. DEANNE C RIECKENBERG (APRN)

  • 215, South Burns Avenue, Sparta, Randolph County, Illinois, 62286, United States

    SPARTA MEDICAL OFFICE

    SPARTA, IL 62286

    Phone: (618) 443-4889

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 59 Open Payments records for all available years, with a total value of $1,021.

Total Amount is formed as General ($1,021) + Research ($0) + Ownership ($0) = $1,021.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Lilly USA, LLC ($361).

Total Amount

$1,021

General + Research + Ownership

Payments

59

Total payment records

General Amount

$1,021

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2007-05-03

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
I20070503000525INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62286)

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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: 6709870462View full group profile
NameSpecialtyState
-IL
Family PracticeIL
R H E U M A T O L O G YIL
Nurse PractitionerIL
P O D I A T R YIL
Family PracticeIL
Pain Management, Physical Medicine And Rehabilitation, Physical Medicine And Rehabilitation, Pain ManagementMO
-MO
Physician AssistantIL
Physician AssistantIL

Reviews

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Frequently asked questions

Does MRS. DEANNE C RIECKENBERG (APRN) have a public NPI I can cite?
Public records show MRS. DEANNE C RIECKENBERG (APRN) under NPI 1003881244.
Should I treat MRS. DEANNE C RIECKENBERG (APRN) as an active provider?
Patients and plans typically see MRS. DEANNE C RIECKENBERG (APRN) as active in the national extract.
What does the directory say MRS. DEANNE C RIECKENBERG (APRN) does?
Insurance directories may phrase it differently, but here MRS. DEANNE C RIECKENBERG (APRN) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. DEANNE C RIECKENBERG (APRN)?
MRS. DEANNE C RIECKENBERG (APRN) is associated with Sparta, Illinois in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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