DR. ELIZABETH S NODINE (M.D.) – Family Medicine Physician, NPI 1346449527
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,041 FAMILY PRACTICE in IL
Provider Addresses for DR. ELIZABETH S NODINE (M.D.)
3210 GRAND AVE
WAUKEGAN, IL 600852204
Phone: (847) 220-4103
Type: Location
PO BOX 746715
ATLANTA, GA 303746715
Phone: (847) 220-4103
Fax: (847) 693-7029
Type: Mailing
3010 Grand Ave, Grand Avenue, Spaulding Corners, Waukegan, Lake, Illinois, 60031, United States
WAUKEGAN, IL 600852321
Phone: (847) 377-8440
Fax: (847) 377-8808
Type: Mailing
14th Street, East 14th Street, South Loop, Near South Side, South Loop, Chicago, Cook County, Illinois, 60605, United States
NORTH CHICAGO, IL 600641618
Phone: (847) 984-5200
Fax: (847) 984-5642
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-03-12
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 |
|---|---|---|---|---|
| I20100312001026 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 78 | 51 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 54 | 54 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 40 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 22 | $0 |
| G0008 | Administration of influenza virus vaccine | 18 | 18 | $0 |
Insurance plans in this area (ZIP 60085)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | IL | |
| - | IL | |
| Clinical Social Worker | IL | |
| - | PA | |
| - | IL | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | IL | |
| Family Practice | IN | |
| - | IL |
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