MINNA JOHN – Primary Care Nurse Practitioner, NPI 1548638448

MINNA JOHN is a healthcare provider. based in Schaumburg, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209.013182 (IL). The NPI Number for MINNA JOHN is 1548638448

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MINNA JOHN
NPI
1548638448
Phone
(184) 777-3508
Address
802 E WOODFIELD RD
Enumeration Date
9 September 2015
Last Update Date
9 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8889646681
Graduation Year
2015 (11 years ago)
PAC ID
3678870474
Group Practice PAC ID
4587104641
Professional Enrollment ID
I20160322001753
Address ID
IL606044393CH332XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

Provider Addresses for MINNA JOHN

  • 802 E WOODFIELD RD

    # 300

    SCHAUMBURG, IL 601734712

    Phone: (184) 777-3508

    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)

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: 2016-03-22

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
I20160322001753INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes4642$0
G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi3013$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2319$0
View full utilization report →

Insurance plans in this area (ZIP 60173)

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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: 4587104641View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerIL
Internal MedicineNY
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerIL
Nurse PractitionerCT
Nurse PractitionerIL

Reviews

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Frequently asked questions

Does MINNA JOHN share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MINNA JOHN uses 1548638448.
Does the file indicate MINNA JOHN is practicing under active NPI?
Directory data currently reports MINNA JOHN as active.
What is MINNA JOHN's specialty?
The listing groups MINNA JOHN with Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect MINNA JOHN on a map?
Expect Schaumburg, Illinois as a primary anchor for MINNA JOHN unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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