ANNABELLA VIDAL-RUIZ (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1063867760
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
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Provider Addresses for ANNABELLA VIDAL-RUIZ (PMHNP)
PO BOX 47304
CHICAGO, IL 606470005
Phone:
Type: Mailing
Presence Saint Mary Campus, 2233, West Division Street, Wicker Park, West Town, Chicago, Cook County, Illinois, 60622, United States
CHICAGO, IL 606228151
Phone: (312) 770-3038
Type: Location
1431 N WESTERN AVE STE 306
CHICAGO, IL 606221775
Phone: (312) 445-0995
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 93 Open Payments records for all available years, with a total value of $2,197.
Total Amount is formed as General ($2,197) + Research ($0) + Ownership ($0) = $2,197.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($549).
Total Amount
$2,197
General + Research + Ownership
Payments
93
Total payment records
General Amount
$2,197
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $549 |
| Janssen Pharmaceuticals, Inc | $313 |
| Neurocrine BioSciences Inc. | $212 |
| Axsome Therapeutics, Inc. | $203 |
| Lundbeck LLC | $157 |
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: 2017-01-20
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 |
|---|---|---|---|---|
| I20170120001270 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 125 | 26 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 77 | 28 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 45 | 15 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 17 | 17 | $0 |
Insurance plans in this area (ZIP 60647)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| - | IL | |
| - | IL | |
| General Surgery | IL | |
| - | IN | |
| - | IL | |
| Internal Medicine | IL | |
| Neurology, Pain Management | NY | |
| Internal Medicine | IL | |
| Pulmonary Disease, Critical Care (Intensivists) | IL |
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