MRS. SHERESE A PRUSS (APN) – Nurse Practitioner, NPI 1255424792

MRS. SHERESE A PRUSS (APN) is a healthcare provider. based in Custer park, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209006201 (IL). The NPI Number for MRS. SHERESE A PRUSS (APN) is 1255424792

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHERESE A PRUSS (APN)
NPI
1255424792
Phone
(815) 458-3553
Address
37250 S MACKS RD
Enumeration Date
2 October 2006
Last Update Date
18 August 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8157051300
Graduation Year
2006 (20 years ago)
PAC ID
0749287886
Group Practice PAC ID
1850372459
Professional Enrollment ID
I20061102000070
Address ID
IL604101417CH27240DRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MRS. SHERESE A PRUSS (APN)

  • 37250 S MACKS RD

    CUSTER PARK, IL 60481

    Phone: (815) 458-3553

    Type: Mailing

  • 27240 W Saxony Dr Ste 203

    Channahon, IL 604101417

    Phone: (815) 705-1000

    Fax: (815) 705-2709

    Type: Location

  • 151 W HIGH ST LOWR LEVEL

    MORRIS, IL 604501407

    Phone: (815) 705-1000

    Fax: (815) 705-2709

    Type: Location

  • 725 SCHOOL ST STE A

    MORRIS, IL 604501207

    Phone: (815) 941-9124

    Fax: (815) 941-4363

    Type: Mailing

  • North Wall Street, Kankakee, Kankakee County, Illinois, 60901, United States

    SUITE 310

    KANKAKEE, IL 60901

    Phone: (815) 936-3240

    Fax: (815) 936-3243

    Type: Location

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 $88.

Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Abbott Laboratories ($51).

Total Amount

$88

General + Research + Ownership

Payments

4

Total payment records

General Amount

$88

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

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: 2006-11-02

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
I20061102000070INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes488416$0
99213Established patient office or other outpatient visit, 20-29 minutes4946$0
View full utilization report →

Insurance plans in this area (ZIP 60481)

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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: 1850372459View full group profile
NameSpecialtyState
Family PracticeIL
Nurse PractitionerIL
Nurse PractitionerIL
Internal Medicine, Pediatric MedicineIL
-IL
Nurse PractitionerIL
Orthopedic SurgeryNY
Nurse PractitionerIL
Family PracticeIL
Allergy/Immunology, Internal MedicineIL

Reviews

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Frequently asked questions

What NPI should I save for MRS. SHERESE A PRUSS (APN)?
Save NPI 1255424792 if you need a stable reference for MRS. SHERESE A PRUSS (APN).
Is MRS. SHERESE A PRUSS (APN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MRS. SHERESE A PRUSS (APN)?
The page reflects Nurse Practitioner for MRS. SHERESE A PRUSS (APN). Clinical services aligned with this taxonomy classification.
Where does public data place MRS. SHERESE A PRUSS (APN)?
The snapshot lists Custer Park, Illinois for MRS. SHERESE A PRUSS (APN); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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