MADELINE JO GRESHAM (WHNP) – Women's Health Nurse Practitioner, NPI 1124748009
Women's Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,637 NURSE PRACTITIONER in IL
Provider Addresses for MADELINE JO GRESHAM (WHNP)
1800 N Knoxville Ave
Peoria, IL 616033028
Phone: (309) 680-7600
Fax: (309) 495-8614
Type: Location
2321 N Wisconsin Ave
Peoria, IL 616035613
Phone: (309) 680-7600
Fax: (309) 681-4681
Type: Location
1001 MAIN ST STE 300
PEORIA, IL 616062036
Phone: (309) 308-0920
Type: Location
2022 W LAURA AVE
WEST PEORIA, IL 616045166
Phone: (309) 863-0773
Type: Mailing
19 OLT AVE
PEKIN, IL 615546214
Phone: (309) 680-7600
Fax: (309) 353-3334
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $1,894.
Total Amount is formed as General ($1,894) + Research ($0) + Ownership ($0) = $1,894.
Last reported payment date: 2024-11-09 • Largest payer in this snapshot: Boston Scientific Corporation ($1,576).
Total Amount
$1,894
General + Research + Ownership
Payments
12
Total payment records
General Amount
$1,894
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $1,576 |
| Astellas Pharma US Inc | $174 |
| Axonics, Inc. | $82 |
| Organon LLC | $40 |
| Agile Therapeutics, Inc. | $23 |
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: 2022-10-18
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 |
|---|---|---|---|---|
| I20221018001591 | 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 61603)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists), Pulmonary Disease | CA | |
| Internal Medicine | IL | |
| - | IL | |
| Radiation Oncology | NC | |
| Radiation Oncology | MO | |
| - | IL | |
| - | IL | |
| - | OK | |
| U R O L O G Y | AR | |
| Radiation Oncology | IL |
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