MS. VICTORIA A HARGRAVE (FNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1023259967

MS. VICTORIA A HARGRAVE (FNP-BC) is a healthcare provider. based in Bethalto, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 277002358 (IL). The NPI Number for MS. VICTORIA A HARGRAVE (FNP-BC) is 1023259967

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MS. VICTORIA A HARGRAVE (FNP-BC)
NPI
1023259967
Phone
(618) 433-6640
Address
163 E Bethalto Dr
Enumeration Date
22 March 2009
Last Update Date
13 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184982101
Graduation Year
2022 (4 years ago)
PAC ID
8820210248
Group Practice PAC ID
4587650445
Professional Enrollment ID
I20141119000559
Address ID
IL620522000JE390XXRDXX400

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Secure Messaging
vhargrave@jch.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

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

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: 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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141119000559INurse PractitionerIL2023-11-30

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.

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 62010)

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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: 4587650445View full group profile
NameSpecialtyState
-IL
Certified Registered Nurse Anesthetist (Crna)IL
-NY
Certified Registered Nurse Anesthetist (Crna)IL
Nurse PractitionerIL
Cardiovascular Disease (Cardiology)MO
-NC
Family PracticeIL
Nurse PractitionerIL
-IL

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Frequently asked questions

Is MS. VICTORIA A HARGRAVE (FNP-BC) listed with a National Provider Identifier?
Yes — MS. VICTORIA A HARGRAVE (FNP-BC) has NPI 1023259967 on file in the registry.
Is MS. VICTORIA A HARGRAVE (FNP-BC) shown as active in public data?
Registry records indicate MS. VICTORIA A HARGRAVE (FNP-BC) maintains an active NPI.
What area of care is associated with MS. VICTORIA A HARGRAVE (FNP-BC)?
MS. VICTORIA A HARGRAVE (FNP-BC)'s record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MS. VICTORIA A HARGRAVE (FNP-BC) associated with Bethalto?
Public fields place MS. VICTORIA A HARGRAVE (FNP-BC) around Bethalto, Illinois. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MS. VICTORIA A HARGRAVE (FNP-BC) is noted as March 22, 2009 where the registry provides it.

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