ANDREA WIEDER – Family Nurse Practitioner, NPI 1235673096
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,637 NURSE PRACTITIONER in IL
Provider Addresses for ANDREA WIEDER
959 S Waukegan Rd Fl 2
Lake Forest, IL 600452654
Phone: (864) 336-2731
Fax: (833) 740-3387
Type: Location
300 Baker Ave Ste 300
Concord, MA 017422124
Phone: (864) 336-2731
Fax: (833) 740-3387
Type: Location
118, Lincoln Avenue, Avon-by-the-Sea, Monmouth County, New Jersey, 07717, United States
# 2
AVON BY THE SEA, NJ 077171311
Phone: (781) 801-0481
Type: Mailing
35, Chesthill Court, Oakhurst, Perry Hall, Baltimore County, Maryland, 21236, United States
OAKHURST, NJ 077552715
Phone: (732) 531-0100
Fax: (732) 531-0144
Type: Location
41 VILLAGE CT
HAZLET, NJ 077301535
Phone: (908) 297-8849
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $171.
Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.
Last reported payment date: 2024-06-08 • Largest payer in this snapshot: ABBVIE INC. ($122).
Total Amount
$171
General + Research + Ownership
Payments
4
Total payment records
General Amount
$171
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $122 |
| Indivior Inc. | $19 |
| Alkermes, Inc. | $15 |
| Janssen Pharmaceuticals, Inc | $15 |
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: 2026-02-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20171025001664 | I | Nurse Practitioner | NJ | TBD |
| I20260203000774 | I | Nurse Practitioner | MA | 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 | 89 | 86 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 43 | 43 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 42 | 41 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 29 | 28 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 26 | 26 | $0 |
Insurance plans in this area (ZIP 60045)
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