JORDAN PRIEBE (NP) – Family Nurse Practitioner, NPI 1477088292
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for JORDAN PRIEBE (NP)
1111, Pinewood Lane, Waterloo, Monroe County, Illinois, 62298, United States
WATERLOO, IL 622982020
Phone:
Type: Mailing
1000 ELEVEN S
SUITE 1A
COLUMBIA, IL 622361077
Phone: (618) 281-8400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $574.
Total Amount is formed as General ($574) + Research ($0) + Ownership ($0) = $574.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Lilly USA, LLC ($293).
Total Amount
$574
General + Research + Ownership
Payments
35
Total payment records
General Amount
$574
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $293 |
| Bayer Healthcare Pharmaceuticals Inc. | $73 |
| Amgen Inc. | $62 |
| Exact Sciences Corporation | $38 |
| ABBVIE INC. | $30 |
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: 2017-07-27
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 |
|---|---|---|---|---|
| I20170727003631 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62298)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| Family Practice | IL | |
| R H E U M A T O L O G Y | IL | |
| Nurse Practitioner | IL | |
| P O D I A T R Y | IL | |
| Family Practice | IL | |
| Pain Management, Physical Medicine And Rehabilitation, Physical Medicine And Rehabilitation, Pain Management | MO | |
| - | MO | |
| Physician Assistant | IL |
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