MISTY DAWN WERNSMAN (FNP) – Family Nurse Practitioner, NPI 1144771692
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MISTY DAWN WERNSMAN (FNP)
1 Good Samaritan Way
Mount Vernon, IL 628642402
Phone: (618) 242-4600
Type: Location
2028, Frazier Avenue, Centralia, Marion County, Illinois, 62801, United States
CENTRALIA, IL 628014469
Phone: (618) 335-9619
Type: Mailing
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 628642402
Phone: (618) 242-4600
Type: Location
5 Good Samaritan Way
Mount Vernon, IL 628642402
Phone: (618) 899-1264
Type: Location
PO BOX 25228
DECATUR, IL 625255228
Phone: (217) 329-3232
Fax: (217) 233-1670
Type: Mailing
1052 M L KING DR STE 2
CENTRALIA, IL 628013002
Phone: (618) 436-5410
Fax: (618) 436-8063
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $30.
Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.
Last reported payment date: 2023-09-02 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($30).
Total Amount
$30
General + Research + Ownership
Payments
1
Total payment records
General Amount
$30
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences, Inc. | $30 |
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: 2016-11-15
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 |
|---|---|---|---|---|
| I20161115002180 | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 324 | 89 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 36 | 28 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 62864)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | IL | |
| P A T H O L O G Y | IL | |
| Sleep Medicine, Pediatric Medicine | MO | |
| P O D I A T R Y | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| General Surgery | MO | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| P S Y C H I A T R Y | IL |
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