MR. KEVIN PETERS (FNP) – Nurse Practitioner, NPI 1083123038

MR. KEVIN PETERS (FNP) is a healthcare provider. based in Aurora, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 277000991 (IL). The NPI Number for MR. KEVIN PETERS (FNP) is 1083123038

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. KEVIN PETERS (FNP)
NPI
1083123038
Phone
(630) 692-5660
Address
444 N EOLA RD STE 110
Enumeration Date
21 September 2017
Last Update Date
10 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6306925660
Graduation Year
2016 (10 years ago)
PAC ID
1254697915
Group Practice PAC ID
7618864877
Professional Enrollment ID
I20171113002466
Address ID
IL605029619AU444XXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for MR. KEVIN PETERS (FNP)

  • North Eola Road, Aurora, DuPage County, Illinois, 60510, United States

    AURORA, IL 605029619

    Phone: (630) 692-5660

    Fax: (630) 692-5661

    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 $161.

Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($60).

Total Amount

$161

General + Research + Ownership

Payments

10

Total payment records

General Amount

$161

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2017-11-13

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
I20171113002466INurse 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 minutes127117$0
99214Established patient office or other outpatient visit, 30-39 minutes4239$0
81003Automated urinalysis test3734$0
99203New patient office or other outpatient visit, 30-44 minutes1616$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen1414$0
View full utilization report →

Insurance plans in this area (ZIP 60502)

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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: 7618864877View full group profile
NameSpecialtyState
Internal MedicineIL
O B S T E T R I C S/ G Y N E C O L O G YMI
General SurgeryIL
Internal MedicineIL
Emergency MedicineIL
D E R M A T O L O G YIL
Internal MedicineIL
-IL
Family PracticeIL
-IL

Reviews

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Frequently asked questions

Is MR. KEVIN PETERS (FNP) listed with a National Provider Identifier?
Yes — MR. KEVIN PETERS (FNP) has NPI 1083123038 on file in the registry.
Would MR. KEVIN PETERS (FNP) appear as active to a payer?
You can treat MR. KEVIN PETERS (FNP) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MR. KEVIN PETERS (FNP)?
MR. KEVIN PETERS (FNP)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. KEVIN PETERS (FNP)?
Directory geography for MR. KEVIN PETERS (FNP) centers on Aurora, Illinois.
When was this NPI issued?
Enumeration for MR. KEVIN PETERS (FNP) is noted as September 21, 2017 where the registry provides it.

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