STACEY ROGERS – Nurse Practitioner, NPI 1033621024
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
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Provider Addresses for STACEY ROGERS
Manhattan Road, Joliet, Will County, Illinois, 60433, United States
JOLIET, IL 604338605
Phone: (708) 223-2698
Type: Location
1890 Silver Cross Blvd Ste 415
New Lenox, IL 604519575
Phone: (815) 717-8750
Fax: (815) 717-8751
Type: Location
534, Plainfield Road, Willowbrook, DuPage County, Illinois, 60527, United States
WILLOWBROOK, IL 605275342
Phone: (773) 921-8000
Type: Mailing
120 W 22ND ST
OAK BROOK, IL 605231557
Phone: (630) 573-5000
Type: Mailing
3100 THEODORE ST STE 201
JOLIET, IL 604350605
Phone: (815) 744-5550
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $57.
Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.
Last reported payment date: 2024-04-25 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($30).
Total Amount
$57
General + Research + Ownership
Payments
3
Total payment records
General Amount
$57
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Travere Therapeutics, Inc. | $30 |
| Ardelyx, Inc. | $27 |
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: 2018-03-07
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 |
|---|---|---|---|---|
| I20180307000317 | 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 60433)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | IL | |
| Nephrology, Internal Medicine | IL | |
| Nephrology, Internal Medicine | IL | |
| - | IN | |
| N E P H R O L O G Y | IL | |
| N E P H R O L O G Y | IL | |
| Nephrology, Internal Medicine | IL | |
| N E P H R O L O G Y | IL | |
| N E P H R O L O G Y | IL | |
| - | IL |
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