MS. SUSAN JEAN FAIRLEY-HOLBACH (NURSE PRACTITIONER) – Acute Care Nurse Practitioner, NPI 1114162864
Acute Care Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MS. SUSAN JEAN FAIRLEY-HOLBACH (NURSE PRACTITIONER)
2520 ELISHA AVE
ZION, IL 600992676
Phone: (847) 872-4888
Fax: (847) 872-5716
Type: Location
3701 Doty Rd
Woodstock, IL 600987509
Phone: (815) 338-2500
Type: Location
Centegra Hospital-Woodstock, 3701, Doty Road, Woodstock, McHenry County, Illinois, 60098, United States
WOODSTOCK, IL 600987509
Phone: (815) 338-2500
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $50.
Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.
Last reported payment date: 2024-04-23 • Largest payer in this snapshot: Genentech USA, Inc. ($34).
Total Amount
$50
General + Research + Ownership
Payments
3
Total payment records
General Amount
$50
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Genentech USA, Inc. | $34 |
| SERVIER PHARMACEUTICALS LLC | $16 |
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: 2009-10-12
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 |
|---|---|---|---|---|
| I20091012000204 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60099)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Thoracic Surgery | OK | |
| Interventional Radiology, Diagnostic Radiology | IL | |
| General Surgery, Surgical Oncology | IL | |
| Hematology/Oncology, Internal Medicine | IL | |
| Pulmonary Disease | IL | |
| Radiation Oncology | IL | |
| Registered Dietitian Or Nutrition Professional | NY | |
| Medical Oncology | IL | |
| P A T H O L O G Y | IL | |
| Physician Assistant | 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.