KASEY DAWN KHAN (APN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1093206856
Psychiatric/Mental Health Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
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Provider Addresses for KASEY DAWN KHAN (APN)
PO BOX 3988
CARBONDALE, IL 629023988
Phone: (618) 457-5200
Type: Mailing
112, Airway Drive, Marion, Williamson County, Illinois, 62959, United States
MARION, IL 629595841
Phone: (618) 201-6620
Type: Mailing
3106 OUTER DR
MARION, IL 629595270
Phone: (618) 997-4332
Fax: (618) 351-4807
Type: Location
201 S 14th St
Herrin, IL 629483631
Phone: (618) 998-0888
Fax: (618) 993-1808
Type: Location
1007 US Highway 45 N
Eldorado, IL 629303767
Phone: (618) 273-7723
Fax: (618) 351-4834
Type: Location
100 Dr Warren Tuttle Dr
Harrisburg, IL 629462718
Phone: (618) 253-7671
Fax: (618) 252-2032
Type: Location
405 W Jackson St
Carbondale, IL 629011462
Phone: (618) 998-0888
Fax: (618) 993-1808
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 102 Open Payments records for all available years, with a total value of $1,641.
Total Amount is formed as General ($1,641) + Research ($0) + Ownership ($0) = $1,641.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($296).
Total Amount
$1,641
General + Research + Ownership
Payments
102
Total payment records
General Amount
$1,641
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $296 |
| Axsome Therapeutics, Inc. | $257 |
| Janssen Pharmaceuticals, Inc | $234 |
| Otsuka America Pharmaceutical, Inc. | $180 |
| Neurocrine BioSciences Inc. | $106 |
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: 2018-08-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180817001210 | I | Nurse Practitioner | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 15 | 13 | $0 |
Insurance plans in this area (ZIP 62902)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| - | IL | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | IL | |
| - | IL | |
| Physician Assistant | IL | |
| Clinical Social Worker | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| P S Y C H I A T R Y | IL | |
| - | IA |
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