ALISA D DEARMOND (APRN) – Family Nurse Practitioner, NPI 1427456961

ALISA D DEARMOND (APRN) is a healthcare provider. based in Pinckneyville, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 209012307 (IL). The NPI Number for ALISA D DEARMOND (APRN) is 1427456961

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
ALISA D DEARMOND (APRN)
NPI
1427456961
Phone
(618) 357-2131
Address
5383 STATE ROUTE 154
Enumeration Date
16 December 2014
Last Update Date
8 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184434138
Graduation Year
2014 (12 years ago)
PAC ID
7315265352
Group Practice PAC ID
6709870462
Professional Enrollment ID
I20150423000612
Address ID
IL622861048SP1300XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for ALISA D DEARMOND (APRN)

  • 5383 STATE ROUTE 154

    PINCKNEYVILLE, IL 62274

    Phone: (618) 357-2131

    Fax: (618) 357-8844

    Type: Mailing

  • PO BOX 378

    SPARTA, IL 622860378

    Phone: (618) 443-1338

    Type: Mailing

  • 1300 N MARKET ST

    SPARTA, IL 622861048

    Phone: (618) 443-4138

    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: 2015-04-23

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
I20150423000612INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62274)

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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: 6709870462View full group profile
NameSpecialtyState
Nurse PractitionerIL
-IL
Family PracticeIL
R H E U M A T O L O G YIL
Nurse PractitionerIL
P O D I A T R YIL
Family PracticeIL
Pain Management, Physical Medicine And Rehabilitation, Physical Medicine And Rehabilitation, Pain ManagementMO
-MO
Physician AssistantIL

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Frequently asked questions

How is ALISA D DEARMOND (APRN) identified in CMS data?
CMS-hosted NPPES data lists ALISA D DEARMOND (APRN) with NPI 1427456961.
Does CMS list ALISA D DEARMOND (APRN) as active?
Yes — ALISA D DEARMOND (APRN) is active in the NPI listing used on this page.
What taxonomy line describes ALISA D DEARMOND (APRN)?
For research purposes, treat ALISA D DEARMOND (APRN) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is ALISA D DEARMOND (APRN) based?
ALISA D DEARMOND (APRN) is tied to Pinckneyville, Illinois in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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