VICTORIA PRINCESS MATTHEWS (FNP) – Nurse Practitioner, NPI 1275002701
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for VICTORIA PRINCESS MATTHEWS (FNP)
4965 E Lost Bridge Rd
Decatur, IL 625215139
Phone: (217) 321-9321
Type: Location
1460 W Mound Rd Apt N
Decatur, IL 625261791
Phone: (217) 853-8413
Type: Location
Family Medicine - Mt. Zion, 4965, East Lost Bridge Road, Greenlake, Decatur, Macon County, Illinois, 62521, United States
DECATUR, IL 625215139
Phone: (217) 321-9321
Type: Location
12040, Raymond Court, Huntley, McHenry County, Illinois, 60142, United States
HUNTLEY, IL 601428069
Phone: (847) 515-1505
Fax: (847) 515-1503
Type: Mailing
176 W MOUND RD
DECATUR, IL 625261964
Phone: (217) 875-0163
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $562.
Total Amount is formed as General ($562) + Research ($0) + Ownership ($0) = $562.
Last reported payment date: 2023-06-08 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($69).
Total Amount
$562
General + Research + Ownership
Payments
32
Total payment records
General Amount
$562
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $69 |
| Novo Nordisk Inc | $67 |
| Lilly USA, LLC | $66 |
| Abbott Laboratories | $57 |
| SANOFI-AVENTIS U.S. LLC | $49 |
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: 2019-01-31
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 |
|---|---|---|---|---|
| I20190131002852 | 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 |
|---|---|---|---|---|
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 50 | 25 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 41 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 38 | 35 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 35 | 35 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 30 | 30 | $0 |
Insurance plans in this area (ZIP 62521)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL |
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