CARRIE ANN LUTMAN (FNP-BC) – Family Nurse Practitioner, NPI 1073030789
Family 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
Provider Addresses for CARRIE ANN LUTMAN (FNP-BC)
4800 RILEY LAKE RD
ELLIS GROVE, IL 622411424
Phone: (618) 304-9024
Type: Mailing
818 E BROADWAY ST
SPARTA, IL 622861820
Phone: (618) 443-2177
Fax: (618) 443-1380
Type: Location
2250 N Illinois Ave
Carbondale, IL 629015612
Phone: (618) 833-1691
Type: Location
2250, North Illinois Avenue, Carbondale, Jackson County, Illinois, 62901, United States
CARBONDALE, IL 629015612
Phone: (618) 833-1691
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $114.
Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.
Last reported payment date: 2024-07-23 • Largest payer in this snapshot: ABBVIE INC. ($114).
Total Amount
$114
General + Research + Ownership
Payments
6
Total payment records
General Amount
$114
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $114 |
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: 2017-12-05
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 |
|---|---|---|---|---|
| I20171205001111 | 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 62241)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| Family Practice | IL | |
| R H E U M A T O L O G Y | IL | |
| P O D I A T R Y | IL | |
| Family Practice | IL | |
| Pain Management, Physical Medicine And Rehabilitation, Physical Medicine And Rehabilitation, Pain Management | MO | |
| - | MO | |
| Physician Assistant | IL | |
| Physician Assistant | IL |
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