ERA LOUISE MATTINGLY (APN) – Family Nurse Practitioner, NPI 1033670062

ERA LOUISE MATTINGLY (APN) is a healthcare provider. based in Marion, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209019019 (IL). The NPI Number for ERA LOUISE MATTINGLY (APN) is 1033670062

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
ERA LOUISE MATTINGLY (APN)
NPI
1033670062
Phone
(618) 889-4834
Address
11522 WHITE PINE AVE
Enumeration Date
31 March 2019
Last Update Date
31 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184368000
Graduation Year
2016 (10 years ago)
PAC ID
1951635150
Group Practice PAC ID
1557865250
Professional Enrollment ID
I20190621001188
Address ID
IL628013056CE400XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for ERA LOUISE MATTINGLY (APN)

  • Pine Avenue, Ocala, Marion County, Florida, 34475, United States

    MARION, IL 629598379

    Phone: (618) 889-4834

    Mailing address matches the actual address.

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: 2019-06-21

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
I20190621001188INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes153132$0
99285Emergency department visit with high level of medical decision making1716$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1513$0
99406Smoking and tobacco use intensive counseling, 4-10 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 62959)

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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: 1557865250View full group profile
NameSpecialtyState
Internal Medicine, HospitalistMO
Nurse PractitionerIL
Family PracticePR
Nurse PractitionerIL
Physician AssistantIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Does ERA LOUISE MATTINGLY (APN) have a public NPI I can cite?
Public records show ERA LOUISE MATTINGLY (APN) under NPI 1033670062.
Quick check: is ERA LOUISE MATTINGLY (APN) active?
Public NPPES data shows ERA LOUISE MATTINGLY (APN) with an active NPI status right now.
What does the directory say ERA LOUISE MATTINGLY (APN) does?
Insurance directories may phrase it differently, but here ERA LOUISE MATTINGLY (APN) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit ERA LOUISE MATTINGLY (APN) in Marion, Illinois?
For routing, start with Marion, Illinois for ERA LOUISE MATTINGLY (APN), then verify phone and hours locally.
Why is information missing for ERA LOUISE MATTINGLY (APN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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