KATIE NEVERGALL – Family Nurse Practitioner, NPI 1417591330

KATIE NEVERGALL is a healthcare provider. based in Vandalia, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209020293 (IL). The NPI Number for KATIE NEVERGALL is 1417591330

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KATIE NEVERGALL
NPI
1417591330
Phone
(618) 283-1231
Address
660 W Taylor St Ste 101
Enumeration Date
4 November 2019
Last Update Date
26 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182835444
Graduation Year
2019 (7 years ago)
PAC ID
0244667855
Group Practice PAC ID
5092614867
Professional Enrollment ID
I20200220001512
Address ID
IL624711227VA650XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for KATIE NEVERGALL

  • 660 W Taylor St Ste 101

    Vandalia, IL 62471

    Phone: (618) 283-1231

    Type: Location

  • 1442 N 8TH ST

    VANDALIA, IL 624711031

    Phone: (618) 283-0266

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $320.

Total Amount is formed as General ($320) + Research ($0) + Ownership ($0) = $320.

Last reported payment date: 2024-07-02 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($56).

Total Amount

$320

General + Research + Ownership

Payments

18

Total payment records

General Amount

$320

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-02

Latest reported date

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: 2020-02-20

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
I20200220001512INurse 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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4729$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes3017$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2615$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1613$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 62471)

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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: 5092614867View full group profile
NameSpecialtyState
-IL
Physical Therapist In Private PracticeIL
Internal MedicineIL
-IL
Nurse PractitionerIL
Nurse PractitionerIL
Family PracticeIL
Infectious DiseaseIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What identifier follows KATIE NEVERGALL across health systems?
The NPI 1417591330 uniquely identifies KATIE NEVERGALL in U.S. healthcare data.
Is KATIE NEVERGALL's NPI status active today?
Active status means KATIE NEVERGALL's NPI record is not deactivated in the public file.
How should patients interpret KATIE NEVERGALL's specialty?
The extract shows Family Nurse Practitioner for KATIE NEVERGALL. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KATIE NEVERGALL?
KATIE NEVERGALL is associated with Vandalia, Illinois in the same public data insurers reference.
Who maintains KATIE NEVERGALL's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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