DANIELLE NICOLE FRIES (AGNP-BC) – Adult Health Nurse Practitioner, NPI 1093256612
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for DANIELLE NICOLE FRIES (AGNP-BC)
6812 STATE ROUTE 162 STE 200
MARYVILLE, IL 620628562
Phone: (618) 288-0900
Fax: (618) 288-0909
Type: Mailing
12855 N 40 DR STE 375
SAINT LOUIS, MO 631418657
Phone: (314) 567-6071
Fax: (618) 288-0909
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 85 Open Payments records for all available years, with a total value of $2,222.
Total Amount is formed as General ($2,222) + Research ($0) + Ownership ($0) = $2,222.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($309).
Total Amount
$2,222
General + Research + Ownership
Payments
85
Total payment records
General Amount
$2,222
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $309 |
| Sumitomo Pharma America, Inc. | $294 |
| ConvaTec Inc. | $238 |
| Myriad Genetic Laboratories, Inc. | $222 |
| ABBVIE INC. | $201 |
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: 2017-04-17
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 |
|---|---|---|---|---|
| I20170417000001 | 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 |
|---|---|---|---|---|
| J9030 | Bcg live intravesical instillation, 1 mg | 3,651 | 17 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 729 | 502 | $0 |
| 81003 | Automated urinalysis test | 507 | 335 | $0 |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 237 | 34 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 139 | 119 | $0 |
Insurance plans in this area (ZIP 62062)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| General Surgery | IL | |
| - | IL | |
| - | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| General Surgery | IL | |
| - | IL | |
| Family Practice | MO | |
| Family Practice | IL |
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