JAMI LEE MANNLE (FNP-BC) – Family Nurse Practitioner, NPI 1184857674
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for JAMI LEE MANNLE (FNP-BC)
3608 W Main St
Belleville, IL 622266225
Phone: (618) 397-6605
Type: Location
3608, West Main Street, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States
BELLEVILLE, IL 622266225
Phone: (618) 397-6605
Type: Mailing
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
930 TALON DR STE 1
O FALLON, IL 622691962
Phone: (618) 726-1080
Fax: (618) 726-1081
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 186 Open Payments records for all available years, with a total value of $2,919.
Total Amount is formed as General ($2,919) + Research ($0) + Ownership ($0) = $2,919.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($799).
Total Amount
$2,919
General + Research + Ownership
Payments
186
Total payment records
General Amount
$2,919
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $799 |
| Amgen Inc. | $226 |
| Janssen Biotech, Inc. | $198 |
| E.R. Squibb & Sons, L.L.C. | $193 |
| Dermavant Sciences, Inc. | $182 |
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: 2010-12-22
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 |
|---|---|---|---|---|
| I20101222000274 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 28 | 28 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 15 | 15 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 14 | 14 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 62226)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | IL | 17003 | Destruction of 2-14 skin growths | 141 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IL |
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