ROSILAND SEDLACEK – Psychiatric/Mental Health Nurse Practitioner, NPI 1265220651

ROSILAND SEDLACEK is a healthcare provider. based in Murphysboro, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209029259 (IL). The NPI Number for ROSILAND SEDLACEK is 1265220651

Main info

Organization
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
ROSILAND SEDLACEK
NPI
1265220651
Phone
Not provided
Address
PO BOX 851
Enumeration Date
28 April 2025
Last Update Date
28 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6183984226
Graduation Year
2023 (3 years ago)
PAC ID
0648782490
Group Practice PAC ID
3870028251
Professional Enrollment ID
I20250626000208
Address ID
IL622082089FA141XXPLXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for ROSILAND SEDLACEK

  • PO BOX 851

    MURPHYSBORO, IL 629660851

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-06-26

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
I20250626000208INurse 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 62966)

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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: 3870028251View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Nurse PractitionerMO
Nurse PractitionerIL
P S Y C H I A T R YIL
Nurse PractitionerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerMO
Clinical Social WorkerIL

Reviews

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Frequently asked questions

How is ROSILAND SEDLACEK identified in CMS data?
CMS-hosted NPPES data lists ROSILAND SEDLACEK with NPI 1265220651.
Does CMS list ROSILAND SEDLACEK as active?
Yes — ROSILAND SEDLACEK is active in the NPI listing used on this page.
What is ROSILAND SEDLACEK best known for clinically?
Directory data describes ROSILAND SEDLACEK with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does ROSILAND SEDLACEK serve?
ROSILAND SEDLACEK's listing highlights Murphysboro, Illinois; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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