GRETCHEN L MAHANEY CALDWELL (APN) – Nurse Practitioner, NPI 1265763163
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,637 NURSE PRACTITIONER in IL
Provider Addresses for GRETCHEN L MAHANEY CALDWELL (APN)
619 E MASON ST STE 4P57
SPRINGFIELD, IL 627011034
Phone: (217) 788-0706
Fax: (217) 525-2535
Type: Mailing
917 CLOCK TOWER DR STE 130
SPRINGFIELD, IL 627046043
Phone: (217) 553-9332
Type: Location
Prairie Diagnostic Center, 401, East Carpenter Street, Springfield, Sangamon County, Illinois, 62702, United States
SPRINGFIELD, IL 627025104
Phone: (217) 788-0706
Fax: (217) 525-2535
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $687.
Total Amount is formed as General ($687) + Research ($0) + Ownership ($0) = $687.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($183).
Total Amount
$687
General + Research + Ownership
Payments
14
Total payment records
General Amount
$687
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
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: 2010-03-27
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 |
|---|---|---|---|---|
| I20100327000422 | 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 | 607 | 483 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 223 | 196 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 54 | 48 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 22 | 22 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 62701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | IL | |
| - | IL | |
| Interventional Cardiology | MI | |
| Interventional Cardiology | MO | |
| Vascular Surgery | IL | |
| Nurse Practitioner | IL | |
| Cardiovascular Disease (Cardiology) | IL | |
| - | IL | |
| - | IL | |
| Internal Medicine, Cardiac Electrophysiology | MO |
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