MS. VICTORIA A HARGRAVE (FNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1023259967
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MS. VICTORIA A HARGRAVE (FNP-BC)
163 E Bethalto Dr
Bethalto, IL 620101801
Phone: (618) 433-6640
Type: Location
390, Maple Summit Road, Jerseyville, Jersey County, Illinois, 62052, United States
JERSEYVILLE, IL 620522000
Phone: (618) 498-7518
Fax: (618) 498-3052
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 179 Open Payments records for all available years, with a total value of $3,440.
Total Amount is formed as General ($3,440) + Research ($0) + Ownership ($0) = $3,440.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($843).
Total Amount
$3,440
General + Research + Ownership
Payments
179
Total payment records
General Amount
$3,440
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $843 |
| Janssen Pharmaceuticals, Inc | $608 |
| Teva Pharmaceuticals USA, Inc. | $206 |
| Amgen Inc. | $182 |
| Neurocrine BioSciences Inc. | $154 |
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: 2014-11-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (919 days ago).
Enrollment records
1
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20141119000559 | I | Nurse Practitioner | IL | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 62010)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| - | NY | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Nurse Practitioner | IL | |
| Cardiovascular Disease (Cardiology) | MO | |
| - | NC | |
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| - | IL |
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