JORDAN PETERSON (APN) – Family Nurse Practitioner, NPI 1518618123
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 PETERSON (APN)
3375 N SEMINARY ST
GALESBURG, IL 614011251
Phone: (309) 343-5114
Mailing address matches the actual address.
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 $1,971.
Total Amount is formed as General ($1,971) + Research ($0) + Ownership ($0) = $1,971.
Last reported payment date: 2024-04-24 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($356).
Total Amount
$1,971
General + Research + Ownership
Payments
35
Total payment records
General Amount
$1,971
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $356 |
| GlaxoSmithKline, LLC. | $237 |
| Novo Nordisk Inc | $227 |
| Insulet Corporation | $138 |
| ABBVIE INC. | $135 |
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: 2022-02-10
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 |
|---|---|---|---|---|
| I20220210001463 | 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 |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 61401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IL | |
| Family Practice | IL | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| Orthopedic Surgery | IL | |
| Physician Assistant | IL | |
| Internal Medicine, Emergency Medicine, Pediatric Medicine | IL | |
| Internal Medicine, Pulmonary Disease, Critical Care (Intensivists), Pulmonary Disease | IL | |
| Nurse Practitioner | IL | |
| Family Practice | MO |
Reviews
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