CYNTHIA KAY BOUFFARD (NP) – Nurse Practitioner, NPI 1023192432
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for CYNTHIA KAY BOUFFARD (NP)
20960 S Frankfort Square Rd Ste C
Frankfort, IL 604235127
Phone: (815) 469-7100
Type: Location
PO BOX 639295 DEPT 93394
CINCINNATI, OH 452639295
Phone: (312) 818-4650
Fax: (855) 618-2629
Type: Mailing
1000 BURR RIDGE PKWY STE 201
BURR RIDGE, IL 605270864
Phone: (312) 818-4650
Type: Location
20960 S FRANKFORT SQUARE RD STE C
FRANKFORT, IL 604235127
Phone: (815) 469-7100
Type: Location
510, West Bruce Road, Lockport, Will County, Illinois, 60441, United States
LOCKPORT, IL 60441
Phone: (815) 726-9397
Type: Mailing
2145, East 170th Street, South Holland, Thornton Township, Cook County, Illinois, 60473, United States
S HOLLAND, IL 60473
Phone: (708) 895-3255
Fax: (708) 895-3315
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-04-07
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 |
|---|---|---|---|---|
| I20050407000456 | 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 60423)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | MI | |
| - | OH | |
| - | WI | |
| Nurse Practitioner | KY | |
| Internal Medicine | MI | |
| Internal Medicine | MI | |
| Internal Medicine | WI | |
| - | VA | |
| - | MI |
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