MRS. GLADYS LARSEN (FNP) – Nurse Practitioner, NPI 1174974661
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MRS. GLADYS LARSEN (FNP)
2 TRANSAM PLAZA DR STE 410
OAKBROOK TERRACE, IL 601814290
Phone: (866) 259-1631
Type: Mailing
122 S Michigan Ave
Chicago, IL 606036191
Phone: (312) 279-9814
Type: Location
699 Walnut St
Des Moines, IA 503093929
Phone: (505) 236-4671
Fax: (888) 597-2151
Type: Location
8741 S Greenwood Ave Ste 106-108
Chicago, IL 606197061
Phone: (773) 920-2755
Fax: (630) 317-7579
Type: Location
50 S B B KING BLVD
MEMPHIS, TN 381032626
Phone: (901) 436-1381
Type: Mailing
18636 DIXIE HWY
HOMEWOOD, IL 604303741
Phone: (708) 647-0571
Type: Location
7901 W 159TH ST STE B
TINLEY PARK, IL 604771881
Phone: (312) 279-9814
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-03-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20170307001986 | I | Nurse Practitioner | IL | TBD |
| I20241120003759 | I | Nurse Practitioner | IA | TBD |
| I20250313004129 | I | Nurse Practitioner | ND | 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 60181)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ND | |
| Nurse Practitioner | ND | |
| Nurse Practitioner | ND | |
| Physician Assistant | ND | |
| Physician Assistant | SD | |
| Clinical Social Worker | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ND | |
| Nurse Practitioner | SD | |
| Physician Assistant | ND | |
| Registered Dietitian Or Nutrition Professional | ND |
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