LAUREN K MIELKE (FNP-BC) – Family Nurse Practitioner, NPI 1265972418

LAUREN K MIELKE (FNP-BC) is a healthcare provider. based in Crystal lake, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 209015703 (IL). The NPI Number for LAUREN K MIELKE (FNP-BC) is 1265972418

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
LAUREN K MIELKE (FNP-BC)
NPI
1265972418
Phone
(815) 459-2200
Address
781 S MCHENRY AVE
Enumeration Date
6 March 2017
Last Update Date
15 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8154592200
Graduation Year
2017 (9 years ago)
PAC ID
2062798002
Group Practice PAC ID
0648379503
Professional Enrollment ID
I20170406000336
Address ID
IL600147444CR781XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for LAUREN K MIELKE (FNP-BC)

  • Crystal Lake, McHenry County, Illinois, 60014, United States

    CRYSTAL LAKE, IL 600147444

    Phone: (815) 459-2200

    Fax: (815) 444-9566

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $79.

Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.

Last reported payment date: 2024-09-03 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($57).

Total Amount

$79

General + Research + Ownership

Payments

2

Total payment records

General Amount

$79

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-03

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: 2017-04-06

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
I20170406000336INurse 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 60014)

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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: 0648379503View full group profile
NameSpecialtyState
Family PracticeIL
Internal Medicine, Pediatric MedicineIL
Internal Medicine, Pediatric MedicineIL
Pediatric Medicine, Internal MedicineIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I cross-check LAUREN K MIELKE (FNP-BC) using NPI 1265972418?
NPI 1265972418 belongs to LAUREN K MIELKE (FNP-BC); compare other details if you need extra assurance.
Is LAUREN K MIELKE (FNP-BC) still an active registrant?
LAUREN K MIELKE (FNP-BC) carries an active NPI according to the public dataset.
What expertise is attributed to LAUREN K MIELKE (FNP-BC)?
LAUREN K MIELKE (FNP-BC)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with LAUREN K MIELKE (FNP-BC)?
Directory geography for LAUREN K MIELKE (FNP-BC) centers on Crystal Lake, Illinois.
When was this NPI issued?
Enumeration for LAUREN K MIELKE (FNP-BC) is noted as March 6, 2017 where the registry provides it.

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