MRS. HOLLY ANN GATES (NP) – Nurse Practitioner, NPI 1063991206
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MRS. HOLLY ANN GATES (NP)
California Street, Crainville, Williamson County, Illinois, 62918, United States
CARTERVILLE, IL 629180577
Phone: (618) 519-9200
Fax: (618) 985-4635
Type: Mailing
405 Rushing Dr
Herrin, IL 629483730
Phone: (618) 993-3300
Fax: (618) 993-0262
Type: Location
117 E Clark St
Harrisburg, IL 629462702
Phone: (618) 252-8625
Fax: (618) 351-4859
Type: Location
2601 W Main St
Carbondale, IL 629011031
Phone: (618) 549-5361
Fax: (618) 351-4878
Type: Location
502 W Saint Louis St Ste 4
West Frankfort, IL 628961968
Phone: (618) 937-3400
Fax: (618) 932-9010
Type: Location
1506, Sioux Drive, Marion, Williamson County, Illinois, 62959, United States
MARION, IL 62959
Phone: (618) 519-9200
Fax: (618) 985-4635
Type: Location
3111 WILLIAMSON COUNTY PKWY
MARION, IL 629595235
Phone: (618) 519-9200
Fax: (618) 985-9155
Type: Location
PO BOX 3988
CARBONDALE, IL 629023988
Phone: (618) 457-5200
Type: Mailing
203 BAILEY LN STE 1
BENTON, IL 628122266
Phone: (618) 438-5670
Fax: (618) 438-5709
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 182 Open Payments records for all available years, with a total value of $2,906.
Total Amount is formed as General ($2,906) + Research ($0) + Ownership ($0) = $2,906.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($521).
Total Amount
$2,906
General + Research + Ownership
Payments
182
Total payment records
General Amount
$2,906
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $521 |
| Lilly USA, LLC | $511 |
| GlaxoSmithKline, LLC. | $386 |
| AstraZeneca Pharmaceuticals LP | $183 |
| Novo Nordisk Inc | $132 |
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: 2019-06-26
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 |
|---|---|---|---|---|
| I20190626003031 | 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 62918)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Nurse Midwife (Cnm) | IL | |
| - | IL | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Mental Health Counselor | IL | |
| Internal Medicine | NJ | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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