CAWONDA RANEE WILSON (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1417648148
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for CAWONDA RANEE WILSON (PMHNP-BC)
1203 W Augusta Blvd Ste 1
Chicago, IL 606424327
Phone: (773) 248-2255
Type: Location
6823 SUSSEX RD
TINLEY PARK, IL 604771745
Phone: (708) 682-4748
Type: Mailing
2501 CHATHAM RD
SPRINGFIELD, IL 627044188
Phone: (253) 922-4027
Fax: (844) 222-0800
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: 2023-08-02
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 |
|---|---|---|---|---|
| I20230802001846 | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 208 | 195 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 139 | 115 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 43 | 40 | $0 |
| 99316 | Nursing facility discharge management, more than 30 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 60642)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | LA | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IA | |
| Internal Medicine | IL | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | IL |
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