DEBORAH L PULLIAM (APRN, CNP) – Family Nurse Practitioner, NPI 1083261218

DEBORAH L PULLIAM (APRN, CNP) is a healthcare provider. based in Springfield, Illinois. specializing in Family Nurse Practitioner. They hold the professional credentials APRN, CNP. They hold a License No. 209019711 (IL). The NPI Number for DEBORAH L PULLIAM (APRN, CNP) is 1083261218

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DEBORAH L PULLIAM (APRN, CNP)
NPI
1083261218
Phone
(217) 547-9100
Address
1301 S Koke Mill Rd
Enumeration Date
22 August 2019
Last Update Date
19 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2178645531
Graduation Year
2019 (7 years ago)
PAC ID
7719219591
Group Practice PAC ID
5092857821
Professional Enrollment ID
I20191028002485
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for DEBORAH L PULLIAM (APRN, CNP)

  • 1301 S Koke Mill Rd

    Springfield, IL 627119252

    Phone: (217) 547-9100

    Type: Location

  • 4965 E Lost Bridge Rd

    Decatur, IL 625215139

    Phone: (217) 864-5531

    Type: Location

  • Family Medicine - Mt. Zion, 4965, East Lost Bridge Road, Greenlake, Decatur, Macon County, Illinois, 62521, United States

    DECATUR, IL 625215139

    Phone: (217) 864-5531

    Fax: (217) 864-2449

    Type: Mailing

  • PO BOX 19248

    SPRINGFIELD, IL 627949248

    Phone: (217) 528-7541

    Type: Mailing

  • 2120 N 27TH ST

    DECATUR, IL 625262191

    Phone: (217) 528-7541

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $107.

Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Stryker Corporation ($58).

Total Amount

$107

General + Research + Ownership

Payments

4

Total payment records

General Amount

$107

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

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: 2019-10-28

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
I20191028002485INurse 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
29826Shaving of part of shoulder bone and repair of ligament using an endoscope1212$0
29828Release of tendon connecting biceps muscle and shoulder using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 62711)

Loading plans...

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: 5092857821View full group profile
NameSpecialtyState
Internal MedicineIL
-IL
G A S T R O E N T E R O L O G YTX
-IL
General SurgeryIL
-IL
Certified Nurse Midwife (Cnm)IL
-IL
Gastroenterology, Internal MedicineIL
-IL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is DEBORAH L PULLIAM (APRN, CNP)'s NPI number?
DEBORAH L PULLIAM (APRN, CNP)'s NPI is 1083261218 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DEBORAH L PULLIAM (APRN, CNP)?
You should see DEBORAH L PULLIAM (APRN, CNP) as active in CMS-hosted NPPES data.
What kind of doctor is DEBORAH L PULLIAM (APRN, CNP)?
DEBORAH L PULLIAM (APRN, CNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DEBORAH L PULLIAM (APRN, CNP)?
Travel planning: use Springfield, Illinois as the reference point for DEBORAH L PULLIAM (APRN, CNP), then confirm.
Does DEBORAH L PULLIAM (APRN, CNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

MRS. MARY BETH DITMAN (C.F.N.P.)

Family Nurse Practitioner
South 6th Street, Springfield, Sangamon County, Illinois, 62703, United States
NPI: 1114920139

LORRIE L CUARTAS (WHNP, FNP-BC)

Family Nurse Practitioner
1025, South 6th Street, South Town, Springfield, Sangamon County, Illinois, 62703, United States
NPI: 1649271073

JUNITTA CYRINE STIEREN

Family Nurse Practitioner
850, East Madison Street, Springfield, Sangamon County, Illinois, 62715, United States
NPI: 1073501078

MRS. CAROL ANN GOETZ (FNP-C)

Family Nurse Practitioner
800 EAST CARPENTER STREE
NPI: 1255322764

MEGAN F ZANGER (CFNP)

Family Nurse Practitioner
415, North 9th Street, Springfield, Sangamon County, Illinois, 62702, United States
NPI: 1790766699

CHARLENE J YOUNG (CFNP)

Family Nurse Practitioner
751, North Rutledge Street, Springfield, Sangamon County, Illinois, 62702, United States
NPI: 1255312039

THERESA M BOLEY (CFNP)

Family Nurse Practitioner
Simmons Cancer Institute, 315, West Carpenter Street, Springfield, Sangamon County, Illinois, 62702, United States
NPI: 1184605743

LINDA S VAUTRAIN (CFNP)

Family Nurse Practitioner
PO BOX 19639
NPI: 1831170315

MRS. LINDA L. MCCALL (CNP)

Family Nurse Practitioner
Chatham Road, Springfield, Sangamon County, Illinois, 62536, United States
NPI: 1477536589