RENAE VAUGHN (RN, MSN, ARNP-C) – Nurse Practitioner, NPI 1518923093
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for RENAE VAUGHN (RN, MSN, ARNP-C)
2513 MOMENTUM PL
CHICAGO, IL 606895325
Phone: (231) 935-6080
Fax: (231) 935-6081
Type: Mailing
1465 E Parkdale Ave
Manistee, MI 496609709
Phone: (231) 398-1000
Type: Location
701 N Otsego Ave
Gaylord, MI 497351558
Phone: (231) 731-7760
Type: Location
PO BOX 102222
ATLANTA, GA 303682222
Phone: (239) 274-8200
Type: Mailing
61 MEMORIAL MEDICAL PKWY STE 2812
PALM COAST, FL 321645999
Phone: (386) 586-1860
Fax: (386) 586-1861
Type: Location
217 S MADISON ST
TRAVERSE CITY, MI 496842321
Phone: (231) 392-8400
Type: Mailing
1465 E PARKDALE AVE
MANISTEE, MI 496609709
Phone: (231) 398-1000
Type: Location
217, South Madison Street, Grand Traverse Commons, Traverse City, Grand Traverse County, Michigan, 49684, United States
TRAVERSE CITY, MI 496842320
Phone: (231) 392-8400
Fax: (231) 935-7888
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $643.
Total Amount is formed as General ($643) + Research ($0) + Ownership ($0) = $643.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Stemline Therapeutics Inc. ($143).
Total Amount
$643
General + Research + Ownership
Payments
28
Total payment records
General Amount
$643
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-01-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050408000967 | I | Nurse Practitioner | MI | TBD |
| I20220103000288 | I | Nurse Practitioner | FL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 25 | 21 | $0 |
Insurance plans in this area (ZIP 60689)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Medical Oncology | FL | |
| Medical Oncology, Hematology/Oncology | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | FL | |
| Internal Medicine, Hematology/Oncology | FL | |
| - | GA | |
| Hematology/Oncology, Internal Medicine | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | FL | |
| Hospice/Palliative Care, Internal Medicine | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | GA |
Reviews
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