JACK S HARWEGER (AGACNP-BC) – Gerontology Nurse Practitioner, NPI 1396170205
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for JACK S HARWEGER (AGACNP-BC)
1045 W Stephenson St
Freeport, IL 610324864
Phone: (815) 599-7866
Fax: (815) 599-6933
Type: Location
444 Roxbury Rd
Rockford, IL 611075059
Phone: (815) 398-3000
Type: Location
PO BOX 857
FREEPORT, IL 610320857
Phone: (815) 599-7950
Type: Mailing
1036 W STEPHENSON ST
FREEPORT, IL 610324865
Phone: (815) 599-7715
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 70 Open Payments records for all available years, with a total value of $1,387.
Total Amount is formed as General ($1,387) + Research ($0) + Ownership ($0) = $1,387.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($548).
Total Amount
$1,387
General + Research + Ownership
Payments
70
Total payment records
General Amount
$1,387
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2014-03-11
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 |
|---|---|---|---|---|
| I20140311001642 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 307 | 143 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 80 | 75 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 45 | 31 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 42 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 31 | 26 | $0 |
Insurance plans in this area (ZIP 61032)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| - | TN | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Physician Assistant | MO | |
| - | IL |
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