ROXANNA ELISE STEVENS (BC-FNP) – Family Nurse Practitioner, NPI 1366951436
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,637 NURSE PRACTITIONER in IL
Provider Addresses for ROXANNA ELISE STEVENS (BC-FNP)
Cardinal Drive, Mount Vernon, Jefferson County, Illinois, 62864, United States
MOUNT VERNON, IL 628642283
Phone: (618) 316-2295
Type: Mailing
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 628642402
Phone: (618) 899-1200
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: 2018-01-11
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 |
|---|---|---|---|---|
| I20180111001295 | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 256 | 245 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 250 | 237 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 83 | 81 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 30 | 30 | $0 |
Insurance plans in this area (ZIP 62864)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Nurse Practitioner | IN | |
| Internal Medicine, Hospitalist | IL | |
| Nurse Practitioner | IL | |
| Emergency Medicine | IN | |
| Nurse Practitioner | IN |
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