CECILIA ANN (NP) – Family Nurse Practitioner, NPI 1306212717

CECILIA ANN (NP) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209.012672 (IL). The NPI Number for CECILIA ANN (NP) is 1306212717

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
CECILIA ANN (NP)
NPI
1306212717
Phone
(773) 975-3269
Address
840 W IRVING PARK RD STE 301
Enumeration Date
19 August 2015
Last Update Date
5 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5629233001
Graduation Year
2014 (12 years ago)
PAC ID
2769792035
Group Practice PAC ID
1850395070
Professional Enrollment ID
I20200108002895
Address ID
CA902413872DO8345XBLVD301

Contacts

Secure Messaging
cann1166739@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

11,637 NURSE PRACTITIONER in IL

Provider Addresses for CECILIA ANN (NP)

  • 840 W IRVING PARK RD STE 301

    CHICAGO, IL 606133011

    Phone: (773) 975-3269

    Fax: (773) 975-3270

    Type: Location

  • 840 W Irving Park Rd Ste 301

    Chicago, IL 606133011

    Phone: (773) 975-3269

    Fax: (773) 975-3270

    Type: Location

  • PO BOX 3276

    EVANSVILLE, IN 477313276

    Phone: (812) 473-0181

    Fax: (812) 473-5822

    Type: Mailing

  • 8345 FIRESTONE BLVD STE 310

    DOWNEY, CA 902413872

    Phone: (562) 923-3001

    Fax: (562) 904-0321

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $489.

Total Amount is formed as General ($489) + Research ($0) + Ownership ($0) = $489.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GENZYME CORPORATION ($109).

Total Amount

$489

General + Research + Ownership

Payments

15

Total payment records

General Amount

$489

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2020-01-08

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
I20200108002895INurse PractitionerCATBD

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 60613)

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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: 1850395070View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
Nurse PractitionerCA
D E R M A T O L O G YCA
Physician AssistantCA
D E R M A T O L O G YCA
D E R M A T O L O G YCA
Physician AssistantCA
-CA
Nurse PractitionerCA
-CA

Reviews

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Frequently asked questions

Does CECILIA ANN (NP) have a public NPI I can cite?
Public records show CECILIA ANN (NP) under NPI 1306212717.
Is CECILIA ANN (NP) currently accepting referrals based on NPI status?
Registry metadata lists CECILIA ANN (NP) as active.
How should patients interpret CECILIA ANN (NP)'s specialty?
The extract shows Family Nurse Practitioner for CECILIA ANN (NP). Clinical services aligned with this taxonomy classification.
Is CECILIA ANN (NP) tied to Chicago, Illinois?
If you are local to Chicago, Illinois, CECILIA ANN (NP) may be relevant to your search.
Who maintains CECILIA ANN (NP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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