CATHERINE NICOLE DETERS – Family Nurse Practitioner, NPI 1013496819
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for CATHERINE NICOLE DETERS
12587 N 2000TH ST
TEUTOPOLIS, IL 624674019
Phone: (217) 663-2961
Type: Mailing
911 STACEY BURK DR
FLORA, IL 628393241
Phone: (618) 662-2131
Fax: (618) 662-3077
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $159.
Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($80).
Total Amount
$159
General + Research + Ownership
Payments
9
Total payment records
General Amount
$159
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2018-09-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180912002007 | I | Nurse Practitioner | IL | TBD |
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.
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 62467)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | FL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Clinical Social Worker | IL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | MO | |
| Interventional Radiology, Diagnostic Radiology, Interventional Radiology, Diagnostic Radiology | MA | |
| Diagnostic Radiology | NE | |
| Family Practice | IL | |
| Diagnostic Radiology | AZ | |
| General Surgery | IL |
Reviews
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