MRS. JODIE VAUGHN (APN) – Family Nurse Practitioner, NPI 1073065140

MRS. JODIE VAUGHN (APN) is a healthcare provider. based in Gibson city, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209015012 (IL). The NPI Number for MRS. JODIE VAUGHN (APN) is 1073065140

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JODIE VAUGHN (APN)
NPI
1073065140
Phone
(217) 379-4864
Address
1120 N MELVIN ST
Enumeration Date
25 October 2016
Last Update Date
11 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2173794864
Graduation Year
2016 (10 years ago)
PAC ID
5890079651
Group Practice PAC ID
5092703124
Professional Enrollment ID
I20170223001227
Address ID
IL609571123PA227XXSTXX400

Contacts

Secure Messaging
jodie.vaughn.p5@direct.gapho.nextgenshare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for MRS. JODIE VAUGHN (APN)

  • Gibson Area Hospital & Health Services, 1120, North Melvin Street, Gibson City, Ford County, Illinois, 60936, United States

    GIBSON CITY, IL 609361477

    Phone: (217) 379-4864

    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 13 Open Payments records for all available years, with a total value of $212.

Total Amount is formed as General ($212) + Research ($0) + Ownership ($0) = $212.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Amgen Inc. ($60).

Total Amount

$212

General + Research + Ownership

Payments

13

Total payment records

General Amount

$212

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2017-02-23

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
I20170223001227INurse 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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes11752$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes3939$0
View full utilization report →

Insurance plans in this area (ZIP 60936)

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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: 5092703124View full group profile

Reviews

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Frequently asked questions

How do payers reference MRS. JODIE VAUGHN (APN)?
For MRS. JODIE VAUGHN (APN), use NPI 1073065140 as the unique 10-digit identifier.
Is there an active status for MRS. JODIE VAUGHN (APN)?
For scheduling context, MRS. JODIE VAUGHN (APN) is shown as active in the registry.
What clinical focus is listed for MRS. JODIE VAUGHN (APN)?
At a glance, MRS. JODIE VAUGHN (APN) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. JODIE VAUGHN (APN) associated with Gibson City?
Public fields place MRS. JODIE VAUGHN (APN) around Gibson City, Illinois. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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