CAMILLE A WILLIAMS-SIMMONS (NP) – Nurse Practitioner, NPI 1174716484
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 CAMILLE A WILLIAMS-SIMMONS (NP)
2025, West 142nd Street, Dixmoor, Thornton Township, Cook County, Illinois, 60426, United States
DIXMOOR, IL 604261173
Phone: (708) 489-5488
Type: Mailing
110, Schiller Street, Elmhurst, DuPage County, Illinois, 60126, United States
SUITE 319
ELMHURST, IL 601262858
Phone: (630) 832-1775
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $48.
Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.
Last reported payment date: 2024-04-08 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($27).
Total Amount
$48
General + Research + Ownership
Payments
2
Total payment records
General Amount
$48
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $27 |
| Novo Nordisk Inc | $22 |
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: 2007-12-14
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 |
|---|---|---|---|---|
| I20071214000709 | 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 60426)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| Radiation Oncology, Diagnostic Radiology | IL | |
| Hematology/Oncology, Internal Medicine | IL | |
| Endocrinology, Internal Medicine | IL | |
| Internal Medicine | IL | |
| Internal Medicine, Sleep Medicine | IL | |
| - | IL | |
| P A T H O L O G Y | IL | |
| General Surgery, Colorectal Surgery (Proctology) | IL |
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