SARAH MICHELLE PUCKETT (FNP) – Family Nurse Practitioner, NPI 1538873633

SARAH MICHELLE PUCKETT (FNP) is a healthcare provider. based in Litchfield, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 209028213 (IL). The NPI Number for SARAH MICHELLE PUCKETT (FNP) is 1538873633

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
SARAH MICHELLE PUCKETT (FNP)
NPI
1538873633
Phone
(217) 324-6127
Address
1285 Franciscan Dr
Enumeration Date
12 January 2023
Last Update Date
8 April 2026

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2173246127
Graduation Year
2023 (3 years ago)
PAC ID
1951743715
Group Practice PAC ID
2466362819
Professional Enrollment ID
I20240524000106
Address ID
IL620561778LI1285XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for SARAH MICHELLE PUCKETT (FNP)

  • 1285 Franciscan Dr

    Litchfield, IL 620561778

    Phone: (217) 324-6127

    Fax: (217) 324-5959

    Type: Location

  • 1 HAIRPIN DR

    EDWARDSVILLE, IL 620260001

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Lilly USA, LLC ($50).

Total Amount

$78

General + Research + Ownership

Payments

4

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-05-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240524000106INurse 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 62056)

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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: 2466362819View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Family PracticeIL
Family PracticeNY
-IN
Nurse PractitionerIL
Family PracticeIL
Nurse PractitionerIL
Family PracticeIL
-IL
Family PracticeIL

Reviews

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Frequently asked questions

What NPI should I save for SARAH MICHELLE PUCKETT (FNP)?
Save NPI 1538873633 if you need a stable reference for SARAH MICHELLE PUCKETT (FNP).
Is SARAH MICHELLE PUCKETT (FNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is SARAH MICHELLE PUCKETT (FNP)?
The page reflects Family Nurse Practitioner for SARAH MICHELLE PUCKETT (FNP). Clinical services aligned with this taxonomy classification.
Where does public data place SARAH MICHELLE PUCKETT (FNP)?
The snapshot lists Litchfield, Illinois for SARAH MICHELLE PUCKETT (FNP); download NPPES for the complete set.
What if Litchfield, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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