DANIELLE LYNN FRUEH (FNP-BC) – Family Nurse Practitioner, NPI 1013524487

DANIELLE LYNN FRUEH (FNP-BC) is a healthcare provider. based in Mount vernon, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 213047 (AR). The NPI Number for DANIELLE LYNN FRUEH (FNP-BC) is 1013524487

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DANIELLE LYNN FRUEH (FNP-BC)
NPI
1013524487
Phone
Not provided
Address
3230 VETERANS MEMORIAL DR
Enumeration Date
29 September 2020
Last Update Date
5 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184849030
Graduation Year
2017 (9 years ago)
PAC ID
2668883257
Group Practice PAC ID
0749640969
Professional Enrollment ID
I20211026001945
Address ID
IL622194202BE291XXSTXX400

Contacts

Main Contact
www.primecaresiloam.com
Secure Messaging
dfrueh@primecaresiloam.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:5State licenses:2Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for DANIELLE LYNN FRUEH (FNP-BC)

  • 3230 VETERANS MEMORIAL DR

    MOUNT VERNON, IL 628645950

    Phone:

    Type: Mailing

  • 1170 FORTUNE BLVD

    SHILOH, IL 622697358

    Phone: (618) 997-5266

    Type: Location

  • 103 W UNIVERSITY ST

    SILOAM SPRINGS, AR 727612663

    Phone: (479) 332-3777

    Fax: (501) 897-8280

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $325.

Total Amount is formed as General ($325) + Research ($0) + Ownership ($0) = $325.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Organon LLC ($76).

Total Amount

$325

General + Research + Ownership

Payments

18

Total payment records

General Amount

$325

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-10-26

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
I20211026001945INurse 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 62864)

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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: 0749640969View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Orthopedic SurgeryIL
Nurse PractitionerIL
Nurse PractitionerOH
Nurse PractitionerMO
Nurse PractitionerIL
Nurse PractitionerIL
Internal MedicineIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Is DANIELLE LYNN FRUEH (FNP-BC) listed with a National Provider Identifier?
Yes — DANIELLE LYNN FRUEH (FNP-BC) has NPI 1013524487 on file in the registry.
Is DANIELLE LYNN FRUEH (FNP-BC) still an active registrant?
DANIELLE LYNN FRUEH (FNP-BC) carries an active NPI according to the public dataset.
What clinical focus is listed for DANIELLE LYNN FRUEH (FNP-BC)?
At a glance, DANIELLE LYNN FRUEH (FNP-BC) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Illinois is DANIELLE LYNN FRUEH (FNP-BC) registered?
Use Mount Vernon, Illinois as the headline location for DANIELLE LYNN FRUEH (FNP-BC) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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