MRS. CHRISTINE ELIZABETH DUBBLE (APN) – Nurse Practitioner, NPI 1104544287

MRS. CHRISTINE ELIZABETH DUBBLE (APN) is a healthcare provider. based in Fairmount, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 71016820A (IN). The NPI Number for MRS. CHRISTINE ELIZABETH DUBBLE (APN) is 1104544287

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CHRISTINE ELIZABETH DUBBLE (APN)
NPI
1104544287
Phone
(812) 454-2460
Address
14526 N 915 EAST RD
Enumeration Date
16 August 2022
Last Update Date
8 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3178597222
Graduation Year
2022 (4 years ago)
PAC ID
0042687998
Group Practice PAC ID
7517870009
Professional Enrollment ID
I20250808000634
Address ID
IN461431049GR679XXRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

Provider Addresses for MRS. CHRISTINE ELIZABETH DUBBLE (APN)

  • 14526 N 915 EAST RD

    FAIRMOUNT, IL 618416345

    Phone: (812) 454-2460

    Type: Mailing

  • 602 W UNIVERSITY AVE

    URBANA, IL 618012530

    Phone: (217) 383-3160

    Type: Location

  • 679 E COUNTY LINE RD

    GREENWOOD, IN 461431049

    Phone: (317) 890-2000

    Fax: (317) 859-7220

    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: 2025-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20221104002050INurse PractitionerILTBD
I20250808000634INurse PractitionerINTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7965$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes7370$0
99212Established patient office or other outpatient visit, 10-19 minutes6762$0
99203New patient office or other outpatient visit, 30-44 minutes6161$0
99213Established patient office or other outpatient visit, 20-29 minutes4141$0
View full utilization report →

Insurance plans in this area (ZIP 61841)

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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: 7517870009View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MRS. CHRISTINE ELIZABETH DUBBLE (APN)?
The federal identifier for MRS. CHRISTINE ELIZABETH DUBBLE (APN) is NPI 1104544287.
Does this profile mean MRS. CHRISTINE ELIZABETH DUBBLE (APN) is currently active?
Yes — MRS. CHRISTINE ELIZABETH DUBBLE (APN) appears active in the national provider directory.
Can you summarize MRS. CHRISTINE ELIZABETH DUBBLE (APN)'s specialty in plain language?
Clinically, the directory lists MRS. CHRISTINE ELIZABETH DUBBLE (APN) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MRS. CHRISTINE ELIZABETH DUBBLE (APN)?
The snapshot lists Fairmount, Illinois for MRS. CHRISTINE ELIZABETH DUBBLE (APN); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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