KATHY G SUPPLE – Acute Care Nurse Practitioner, NPI 1134396211
Acute Care Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
11,703 NURSE PRACTITIONER in IL
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Provider Addresses for KATHY G SUPPLE
2434, Wolf Road, Westchester, Proviso Township, Cook County, Illinois, 60154, United States
WESTCHESTER, IL 601545634
Phone:
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $192.
Total Amount is formed as General ($192) + Research ($0) + Ownership ($0) = $192.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($133).
Total Amount
$192
General + Research + Ownership
Payments
4
Total payment records
General Amount
$192
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $133 |
| Novo Nordisk Inc | $59 |
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: 2008-06-11
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20080611000817 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 245 | 199 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 210 | 178 | $0 |
| 0241U | Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | 103 | 94 | $0 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 38 | 20 | $0 |
| 81003 | Automated urinalysis test | 37 | 36 | $0 |
Insurance plans in this area (ZIP 60154)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| Family Practice, Emergency Medicine | IL | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Geriatric Medicine, Family Practice | IL | |
| Family Practice | IL | |
| Orthopedic Surgery | IL | |
| U R O L O G Y | IL | |
| Nurse Practitioner | IL |
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