MRS. KATHLEEN LALLY (N.P.) – Family Nurse Practitioner, NPI 1508365842
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 MRS. KATHLEEN LALLY (N.P.)
2151 W White Oaks Dr
Springfield, IL 627046495
Phone: (217) 717-4404
Fax: (217) 718-5284
Type: Location
Jacobssen Drive, Greenbriar East, Normal, McLean County, Illinois, 61761, United States
NORMAL, IL 617616280
Phone: (309) 452-0995
Fax: (309) 862-0961
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 246 Open Payments records for all available years, with a total value of $4,974.
Total Amount is formed as General ($4,974) + Research ($0) + Ownership ($0) = $4,974.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($776).
Total Amount
$4,974
General + Research + Ownership
Payments
246
Total payment records
General Amount
$4,974
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $776 |
| AstraZeneca Pharmaceuticals LP | $665 |
| GlaxoSmithKline, LLC. | $616 |
| GENZYME CORPORATION | $454 |
| CSL Behring | $248 |
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: 2019-10-24
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 |
|---|---|---|---|---|
| I20191024000095 | 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 |
|---|---|---|---|---|
| 95117 | Professional service for multiple injections of allergen | 31 | 14 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 26 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 17 | $0 |
Insurance plans in this area (ZIP 62704)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| - | TX | |
| Pulmonary Disease, Critical Care (Intensivists) | IL | |
| Internal Medicine, Pulmonary Disease | KY | |
| Allergy/Immunology, Internal Medicine | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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