MAGIC M. ALLEN (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1376080630

MAGIC M. ALLEN (AGACNP-BC) is a healthcare provider. based in Westmont, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. 209015500 (IL). The NPI Number for MAGIC M. ALLEN (AGACNP-BC) is 1376080630

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MAGIC M. ALLEN (AGACNP-BC)
NPI
1376080630
Phone
(630) 789-9785
Address
700 E OGDEN AVE STE 202
Enumeration Date
25 January 2017
Last Update Date
21 November 2018

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
6307899785
Graduation Year
2016 (10 years ago)
PAC ID
5395022776
Group Practice PAC ID
3476531088
Professional Enrollment ID
I20170512001052
Address ID
IL605591296WE700XXAVEX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MAGIC M. ALLEN (AGACNP-BC)

  • 202, East Ogden Avenue, Westmont, DuPage County, Illinois, 60559, United States

    WESTMONT, IL 605591398

    Phone: (630) 789-9785

    Fax: (630) 789-9798

    Type: Mailing

  • 4440 W 95th St

    Oak Lawn, IL 604532600

    Phone: (630) 991-6896

    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: 2017-05-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170512001052INurse PractitionerILTBD

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
99291Critical care, first 30-74 minutes3231$0
View full utilization report →

Insurance plans in this area (ZIP 60559)

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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: 3476531088View full group profile
NameSpecialtyState
Critical Care (Intensivists), Sleep MedicineIL
Pulmonary Disease, Critical Care (Intensivists)MI
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineIL
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineIL
H O S P I T A L I S TIL
Clinical PsychologistIL
Internal MedicineIL
Nurse PractitionerIL
-IL
Pulmonary Disease, Critical Care (Intensivists)IL

Reviews

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Frequently asked questions

How do I look up MAGIC M. ALLEN (AGACNP-BC) by NPI?
Use NPI 1376080630 when you need to reference MAGIC M. ALLEN (AGACNP-BC) in forms, claims, or directories.
Is MAGIC M. ALLEN (AGACNP-BC)'s NPI currently valid?
The extract we use shows MAGIC M. ALLEN (AGACNP-BC) as active.
What field does MAGIC M. ALLEN (AGACNP-BC) work in?
You can think of MAGIC M. ALLEN (AGACNP-BC) as practicing within Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MAGIC M. ALLEN (AGACNP-BC)?
The snapshot lists Westmont, Illinois for MAGIC M. ALLEN (AGACNP-BC); download NPPES for the complete set.
Is MAGIC M. ALLEN (AGACNP-BC) a real provider?
This page reflects official NPPES data for NPI 1376080630. Always confirm identity and privileges with the practice and licensing boards.

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