VIVIAN HAMILTON (NP) – Family Nurse Practitioner, NPI 1104111947

Family Nurse Practitioner

VIVIAN HAMILTON (NP) is a healthcare provider. based in Oak brook, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. CHR.0007198 (CO). The NPI Number for VIVIAN HAMILTON (NP) is 1104111947

Main info

Female

6 Years Of Experience

Accepts Medicare Assignment

Name

VIVIAN HAMILTON (NP)

NPI

1104111947

Phone

(630) 468-1824

Address

2625 BUTTERFIELD RD

Enumeration Date

9 June 2011

Last Update Date

21 November 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7208230123

Graduation Year

2020 (6 years ago)

PAC ID

1658541719

Group Practice PAC ID

3375889470

Professional Enrollment ID

I20230323002465

Address ID

CO806013152BR435XXAVEX400

Telehealth

Yes

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience61

Completeness75

Years active:14State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for VIVIAN HAMILTON (NP)

2625 BUTTERFIELD RD
STE 301N
OAK BROOK, IL 605231234
Phone: (630) 468-1824
Fax: (630) 701-1007
Type: Mailing
1190 PARKER SQ
FLOWER MOUND, TX 750287432
Phone: (972) 899-5710
Fax: (972) 899-5715
Type: Location
435 S 4TH AVE
BRIGHTON, CO 806013152
Phone: (720) 823-0123
Fax: (303) 953-2312
Type: Mailing
892 W SOUTH BOULDER RD STE 101
LOUISVILLE, CO 800272453
Phone: (972) 951-2256
Fax: (630) 701-1007
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-03-23

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

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
I20230323002465	I	Nurse Practitioner	CO	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99214	Established patient office or other outpatient visit, 30-39 minutes	261	62	$0

View full utilization report →

Insurance plans in this area (ZIP 60523)

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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: 3375889470View full group profile