THERESE KRAUSE – Family Nurse Practitioner, NPI 1336670454

THERESE KRAUSE is a healthcare provider. based in O fallon, Illinois. specializing in Family Nurse Practitioner. They hold a License No. 209015711 (IL). The NPI Number for THERESE KRAUSE is 1336670454

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
THERESE KRAUSE
NPI
1336670454
Phone
(618) 624-3368
Address
320 E HIGHWAY 50
Enumeration Date
21 March 2017
Last Update Date
21 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182356600
Graduation Year
2016 (10 years ago)
PAC ID
3870865702
Group Practice PAC ID
8022306737
Professional Enrollment ID
I20170828000727
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:9State licenses:2Digital endpointsOther names

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Provider Addresses for THERESE KRAUSE

  • 320 E HIGHWAY 50

    O FALLON, IL 622692704

    Phone: (618) 624-3368

    Type: Mailing

  • 211, South 3rd Street, Belleville, Saint Clair County, Illinois, 62220, United States

    BELLEVILLE, IL 622201915

    Phone: (618) 234-2120

    Type: Location

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 $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2023-05-22 • Largest payer in this snapshot: Abbott Laboratories ($48).

Total Amount

$48

General + Research + Ownership

Payments

2

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$48
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: 2020-05-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170828000727INurse PractitionerILTBD
I20200511000300INurse PractitionerMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes967187$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes325122$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes115110$0
99238Hospital discharge day management, 30 minutes or less4242$0
99239Hospital discharge day management, more than 30 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 62269)

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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: 8022306737View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationCA
Nurse PractitionerMO
Nurse PractitionerMO
Internal Medicine, HospitalistIL
Nurse PractitionerIL
Internal MedicineMO

Reviews

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Frequently asked questions

What unique ID ties claims to THERESE KRAUSE?
NPI 1336670454 is assigned to THERESE KRAUSE under the national enumeration system.
Is THERESE KRAUSE's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does THERESE KRAUSE work in?
You can think of THERESE KRAUSE as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for THERESE KRAUSE?
We surface O Fallon, Illinois for THERESE KRAUSE based on available NPPES addresses.
How can I contact THERESE KRAUSE?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.