MATTHEW DAVID RATHBUN (NP) – Primary Care Nurse Practitioner, NPI 1184239667

MATTHEW DAVID RATHBUN (NP) is a healthcare provider. based in Lockport, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209021678 (IL). The NPI Number for MATTHEW DAVID RATHBUN (NP) is 1184239667

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW DAVID RATHBUN (NP)
NPI
1184239667
Phone
(630) 390-4567
Address
15027 W KESWICK PL
Enumeration Date
11 September 2020
Last Update Date
3 June 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3123553060
Graduation Year
2019 (7 years ago)
PAC ID
1951848027
Group Practice PAC ID
3072422716
Professional Enrollment ID
I20240807001126
Address ID
IL606124795CH1801XSTXX421
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

Provider Addresses for MATTHEW DAVID RATHBUN (NP)

  • 15027 W KESWICK PL

    LOCKPORT, IL 604416251

    Phone: (630) 390-4567

    Type: Mailing

  • 2955 W 95TH ST

    EVERGREEN PARK, IL 608052409

    Phone: (708) 422-1363

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $1,611.

Total Amount is formed as General ($1,611) + Research ($0) + Ownership ($0) = $1,611.

Last reported payment date: 2024-08-01 • Largest payer in this snapshot: Lilly USA, LLC ($485).

Total Amount

$1,611

General + Research + Ownership

Payments

77

Total payment records

General Amount

$1,611

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-08-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240807001126INurse PractitionerILTBD

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.

Verify on CMS Revalidation Lookup Tool

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 60441)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072422716View full group profile
NameSpecialtyState
Physician AssistantIL
Internal MedicineIL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
-IL
Gastroenterology, Internal MedicineWI
Internal MedicineIL
A N E S T H E S I O L O G YIL
Certified Clinical Nurse Specialist (Cns)IL
Cardiovascular Disease (Cardiology)TN

Reviews

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Frequently asked questions

What identifier follows MATTHEW DAVID RATHBUN (NP) across health systems?
The NPI 1184239667 uniquely identifies MATTHEW DAVID RATHBUN (NP) in U.S. healthcare data.
Is MATTHEW DAVID RATHBUN (NP)'s NPI status active today?
Active status means MATTHEW DAVID RATHBUN (NP)'s NPI record is not deactivated in the public file.
Which specialty label fits MATTHEW DAVID RATHBUN (NP)?
NPPES ties MATTHEW DAVID RATHBUN (NP) to Primary Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MATTHEW DAVID RATHBUN (NP)?
MATTHEW DAVID RATHBUN (NP) is associated with Lockport, Illinois in the same public data insurers reference.
Why is information missing for MATTHEW DAVID RATHBUN (NP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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