DAWN N PADDOCK (NP) – Gerontology Nurse Practitioner, NPI 1164815353
Gerontology Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for DAWN N PADDOCK (NP)
30 W MONROE ST STE 1200
CHICAGO, IL 606032420
Phone: (312) 733-9730
Fax: (773) 866-8014
Type: Mailing
2240 E 53RD ST # B-1
INDIANAPOLIS, IN 462203479
Phone: (179) 337-0473
Type: Location
2240 E 53rd St # B-1
Indianapolis, IN 462203479
Phone: (179) 337-0473
Type: Location
6101 BLUE LAGOON DR STE 200
MIAMI, FL 331263168
Phone: (844) 630-0700
Type: Mailing
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
5430 E WASHINGTON ST
INDIANAPOLIS, IN 462196446
Phone: (317) 969-7935
Fax: (877) 550-2158
Type: Location
2401 W University Ave
Muncie, IN 473033428
Phone: (765) 747-3728
Fax: (765) 747-3518
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 $111.
Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($111).
Total Amount
$111
General + Research + Ownership
Payments
1
Total payment records
General Amount
$111
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $111 |
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: 2015-09-21
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 |
|---|---|---|---|---|
| I20150921000645 | I | Nurse Practitioner | IN | 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 60603)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Internal Medicine | IN | |
| Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Osteopathic Manipulative Medicine, Family Practice | IN | |
| Family Practice | KY | |
| Nurse Practitioner | IN | |
| Internal Medicine | KY |
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