ALYCE HANNAN – Family Nurse Practitioner, NPI 1073153235

ALYCE HANNAN is a healthcare provider. based in Metropolis, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209020499 (IL). The NPI Number for ALYCE HANNAN is 1073153235

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ALYCE HANNAN
NPI
1073153235
Phone
(618) 524-2182
Address
12 HOSPITAL DR
Enumeration Date
15 January 2020
Last Update Date
15 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6185242176
Graduation Year
2019 (7 years ago)
PAC ID
4587092283
Group Practice PAC ID
3072422799
Professional Enrollment ID
I20200311001963
Address ID
IL629602467ME28XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for ALYCE HANNAN

  • 12 HOSPITAL DR

    METROPOLIS, IL 629602461

    Phone: (618) 524-2182

    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 195 Open Payments records for all available years, with a total value of $3,284.

Total Amount is formed as General ($3,284) + Research ($0) + Ownership ($0) = $3,284.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($615).

Total Amount

$3,284

General + Research + Ownership

Payments

195

Total payment records

General Amount

$3,284

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

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: 2020-03-11

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
I20200311001963INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62960)

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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: 3072422799View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Mental Health CounselorIL
Family Practice, Emergency MedicineIL
Physician AssistantTN
O T O L A R Y N G O L O G YKY
Family PracticeIL
Family PracticeGA
P S Y C H I A T R YIN

Reviews

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Frequently asked questions

Is ALYCE HANNAN listed with a National Provider Identifier?
Yes — ALYCE HANNAN has NPI 1073153235 on file in the registry.
Is ALYCE HANNAN still an active registrant?
ALYCE HANNAN carries an active NPI according to the public dataset.
How would a patient describe ALYCE HANNAN's focus?
For ALYCE HANNAN, the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with ALYCE HANNAN?
Directory geography for ALYCE HANNAN centers on Metropolis, Illinois.
When was this NPI issued?
Enumeration for ALYCE HANNAN is noted as January 15, 2020 where the registry provides it.