STEPHANNIE CLONINGER-HULTZ (APRN FNP-C FPA) – Family Nurse Practitioner, NPI 1265063192
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for STEPHANNIE CLONINGER-HULTZ (APRN FNP-C FPA)
102 QUARRY RIVERFRONT RD
GOLDEN EAGLE, IL 620362189
Phone: (618) 567-8559
Type: Mailing
270 MAPLE SUMMIT RD
JERSEYVILLE, IL 620522004
Phone: (618) 498-7108
Type: Location
9 GLEN ED PROFESSIONAL PARK
GLEN CARBON, IL 620343333
Phone: (618) 221-9596
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 159 Open Payments records for all available years, with a total value of $2,880.
Total Amount is formed as General ($2,880) + Research ($0) + Ownership ($0) = $2,880.
Last reported payment date: 2024-08-23 • Largest payer in this snapshot: ABBVIE INC. ($625).
Total Amount
$2,880
General + Research + Ownership
Payments
159
Total payment records
General Amount
$2,880
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $625 |
| Lilly USA, LLC | $418 |
| Amgen Inc. | $260 |
| Corcept Therapeutics | $188 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $137 |
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: 2020-02-28
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 |
|---|---|---|---|---|
| I20200228000558 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62036)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Nurse Practitioner | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| - | NY | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Nurse Practitioner | IL | |
| Cardiovascular Disease (Cardiology) | MO | |
| - | NC | |
| Family Practice | IL | |
| Nurse Practitioner | IL |
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