CHAD ORIN COTTRELL (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1477320828

CHAD ORIN COTTRELL (PMHNP-BC) is a healthcare provider. based in Danville, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 209.028717 (IL). The NPI Number for CHAD ORIN COTTRELL (PMHNP-BC) is 1477320828

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
CHAD ORIN COTTRELL (PMHNP-BC)
NPI
1477320828
Phone
(217) 474-3261
Address
1720 MURRAY CLARK RD
Enumeration Date
6 December 2023
Last Update Date
6 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2173731700
Graduation Year
2023 (3 years ago)
PAC ID
9830530716
Group Practice PAC ID
7911043740
Professional Enrollment ID
I20240509000765
Address ID
IL618203320CH809XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

Provider Addresses for CHAD ORIN COTTRELL (PMHNP-BC)

  • 1720 MURRAY CLARK RD

    DANVILLE, IL 618327715

    Phone: (217) 474-3261

    Type: Mailing

  • 809 W CHURCH ST

    CHAMPAIGN, IL 618203320

    Phone: (217) 474-3261

    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: 2024-05-09

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
I20240509000765INurse 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 61832)

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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: 7911043740View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do payers reference CHAD ORIN COTTRELL (PMHNP-BC)?
For CHAD ORIN COTTRELL (PMHNP-BC), use NPI 1477320828 as the unique 10-digit identifier.
Is there an active status for CHAD ORIN COTTRELL (PMHNP-BC)?
For scheduling context, CHAD ORIN COTTRELL (PMHNP-BC) is shown as active in the registry.
What area of care is associated with CHAD ORIN COTTRELL (PMHNP-BC)?
CHAD ORIN COTTRELL (PMHNP-BC)'s record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is CHAD ORIN COTTRELL (PMHNP-BC) associated with Danville?
Public fields place CHAD ORIN COTTRELL (PMHNP-BC) around Danville, Illinois. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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