RHONDA RAYE HEATHERLY (APN, FNP) – Nurse Practitioner, NPI 1073048120

RHONDA RAYE HEATHERLY (APN, FNP) is a healthcare provider. based in Marion, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN, FNP. They hold a License No. 209.015818 (IL). The NPI Number for RHONDA RAYE HEATHERLY (APN, FNP) is 1073048120

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
RHONDA RAYE HEATHERLY (APN, FNP)
NPI
1073048120
Phone
(618) 998-1900
Address
106 S VICKSBURG ST
Enumeration Date
26 April 2017
Last Update Date
25 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6189698633
Graduation Year
2016 (10 years ago)
PAC ID
3274892344
Group Practice PAC ID
9830562016
Professional Enrollment ID
I20180117002389
Address ID
IL629594942MA2700XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for RHONDA RAYE HEATHERLY (APN, FNP)

  • 106, South Vicksburg Street, Marion, Williamson County, Illinois, 62959, United States

    MARION, IL 629591930

    Phone: (618) 998-1900

    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)

CMS reports 10 Open Payments records for all available years, with a total value of $257.

Total Amount is formed as General ($257) + Research ($0) + Ownership ($0) = $257.

Last reported payment date: 2023-11-20 • Largest payer in this snapshot: ABBVIE INC. ($140).

Total Amount

$257

General + Research + Ownership

Payments

10

Total payment records

General Amount

$257

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-01-17

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
I20180117002389INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes295247$0
96372Injection of drug or substance under skin or into muscle117100$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen7469$0
J1040Injection, methylprednisolone acetate, 80 mg6258$0
J0696Injection, ceftriaxone sodium, per 250 mg4912$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: 9830562016View full group profile
NameSpecialtyState
Hospitalist, Family PracticeIL
Hospitalist, Internal MedicineIL
Pulmonary DiseaseNM
Internal Medicine, Family PracticeIL
Nurse PractitionerIL
H E M A T O L O G Y/ O N C O L O G YIL
H O S P I T A L I S TMO
Neurology, Critical Care (Intensivists)IN
Physician AssistantIL
Physician AssistantIL

Reviews

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Frequently asked questions

Does RHONDA RAYE HEATHERLY (APN, FNP) have a public NPI I can cite?
Public records show RHONDA RAYE HEATHERLY (APN, FNP) under NPI 1073048120.
Should I treat RHONDA RAYE HEATHERLY (APN, FNP) as an active provider?
Patients and plans typically see RHONDA RAYE HEATHERLY (APN, FNP) as active in the national extract.
How should patients interpret RHONDA RAYE HEATHERLY (APN, FNP)'s specialty?
The extract shows Nurse Practitioner for RHONDA RAYE HEATHERLY (APN, FNP). Clinical services aligned with this taxonomy classification.
What city is tied to RHONDA RAYE HEATHERLY (APN, FNP)?
The directory associates RHONDA RAYE HEATHERLY (APN, FNP) with Marion, Illinois. Check all listed addresses for suites or satellite offices.
Can I export RHONDA RAYE HEATHERLY (APN, FNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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