DR. LOLA MARIE PRINCE (PHD, APRN, FNP-BC) – Family Nurse Practitioner, NPI 1417957051
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
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Provider Addresses for DR. LOLA MARIE PRINCE (PHD, APRN, FNP-BC)
150, Madison Street, Joliet, Carbon County, Montana, 59041, United States
AUNT MARTHAS HEALTH AND WELLNESS
JOLIET, IL 604358200
Phone: (877) 692-8686
Type: Location
Presence Saint Joseph Medical Center, 333, Madison Street, Joliet, Will County, Illinois, 60435, United States
WEST JOLIET AUNT MARTHAS SUITE 150
JOLIET, IL 604358200
Phone: (877) 692-8686
Type: Mailing
1800 W. CHARLESTON BLVD.
LAS VEGAS, NV 89102
Phone: (702) 383-2000
Type: Location
9850 S MARYLAND PKWY STE A5
LAS VEGAS, NV 891837148
Phone:
Type: Mailing
11200 LINCOLN HWY
MOKENA, IL 604488208
Phone: (866) 389-2727
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $110.
Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.
Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Amgen Inc. ($26).
Total Amount
$110
General + Research + Ownership
Payments
6
Total payment records
General Amount
$110
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $26 |
| PFIZER INC. | $18 |
| Daiichi Sankyo Inc. | $18 |
| Dexcom, Inc. | $17 |
| AstraZeneca Pharmaceuticals LP | $16 |
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: 2025-04-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20061228000260 | I | Nurse Practitioner | IL | TBD |
| I20240508002979 | I | Nurse Practitioner | FL | TBD |
| I20250423000751 | I | Nurse Practitioner | TX | TBD |
| I20250429003242 | I | Nurse Practitioner | MN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60435)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| - | MN | |
| Nurse Practitioner | PA | |
| Physician Assistant | MN | |
| - | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| - | MN |
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