BRENDA COLLEEN BLICKHAN (AGNP-C) – Nurse Practitioner, NPI 1063000719
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,637 NURSE PRACTITIONER in IL
Provider Addresses for BRENDA COLLEEN BLICKHAN (AGNP-C)
1005 BROADWAY ST
QUINCY, IL 623012834
Phone: (217) 223-1200
Type: Location
100 Medical Dr
Hannibal, MO 634016877
Phone: (217) 228-5521
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $542.
Total Amount is formed as General ($542) + Research ($0) + Ownership ($0) = $542.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Incyte Corporation ($281).
Total Amount
$542
General + Research + Ownership
Payments
15
Total payment records
General Amount
$542
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-07-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210202002051 | I | Nurse Practitioner | IL | TBD |
| I20230718000693 | I | Nurse Practitioner | MO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 254 | 57 | $0 |
| 99497 | Advance care planning, first 30 minutes | 80 | 60 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 72 | 27 | $0 |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 62301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Nurse Practitioner | IL | |
| N E U R O L O G Y | MI | |
| Radiation Oncology | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Pain Management, Anesthesiology | IL | |
| Family Practice, Emergency Medicine | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL |
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