JACQUELINE DEFFENBAUGH (APN, WHNP) – Women's Health Nurse Practitioner, NPI 1174535306
Women's Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
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Provider Addresses for JACQUELINE DEFFENBAUGH (APN, WHNP)
2304, Stern Drive, Bloomington, McLean County, Illinois, 61704, United States
BLOOMINGTON, IL 617044487
Phone: (309) 663-0411
Fax: (309) 662-2018
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 42 Open Payments records for all available years, with a total value of $1,016.
Total Amount is formed as General ($1,016) + Research ($0) + Ownership ($0) = $1,016.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Lilly USA, LLC ($184).
Total Amount
$1,016
General + Research + Ownership
Payments
42
Total payment records
General Amount
$1,016
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $184 |
| Novo Nordisk Inc | $125 |
| Sumitomo Pharma America, Inc. | $107 |
| Exact Sciences Corporation | $101 |
| Myriad Women's Health, Inc. | $63 |
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: 2004-08-25
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 |
|---|---|---|---|---|
| I20040825000494 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 228 | 161 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 27 | 27 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 20 | 20 | $0 |
| 81003 | Automated urinalysis test | 18 | 15 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 61704)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physical Therapist In Private Practice | IL |
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