PETER G BIVANS (FNP) – Nurse Practitioner, NPI 1548775257

PETER G BIVANS (FNP) is a healthcare provider. based in Smithton, Illinois. specializing in Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 850144 (NV). The NPI Number for PETER G BIVANS (FNP) is 1548775257

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
PETER G BIVANS (FNP)
NPI
1548775257
Phone
Not provided
Address
4662 CHERRY CIRCLE CT
Enumeration Date
5 December 2017
Last Update Date
18 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182575644
Graduation Year
2017 (9 years ago)
PAC ID
3678831484
Group Practice PAC ID
2769746056
Professional Enrollment ID
I20171228001827

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

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Provider Addresses for PETER G BIVANS (FNP)

  • 4662 CHERRY CIRCLE CT

    SMITHTON, IL 622853675

    Phone:

    Type: Mailing

  • 6900 N PECOS RD

    NORTH LAS VEGAS, NV 890864400

    Phone: (702) 791-9000

    Type: Mailing

  • 4500 MEMORIAL DR

    BELLEVILLE, IL 622265360

    Phone: (618) 257-6220

    Type: Mailing

  • Memorial Hospital, 4500, Memorial Drive, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States

    BELLEVILLE, IL 622265360

    Phone: (618) 257-6220

    Type: Location

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 $103.

Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.

Last reported payment date: 2024-04-03 • Largest payer in this snapshot: ITI, Inc. ($50).

Total Amount

$103

General + Research + Ownership

Payments

4

Total payment records

General Amount

$103

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-03

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: 2022-09-01

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
I20220901002751INurse PractitionerNVTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2,352182$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes183105$0
99497Advance care planning, first 30 minutes3231$0
99316Nursing facility discharge management, more than 30 minutes2929$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2613$0
View full utilization report →

Insurance plans in this area (ZIP 62285)

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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: 2769746056View full group profile
NameSpecialtyState
Emergency Medicine, Internal MedicineMO
Emergency MedicineMO
Emergency MedicineMO
Nurse PractitionerIL
Pediatric Medicine, Internal Medicine, Emergency MedicineTX
Emergency MedicineIL
Emergency MedicineIL
Emergency Medicine, Internal MedicineMO
Emergency MedicineCT
Emergency MedicineIL

Reviews

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Frequently asked questions

What unique ID ties claims to PETER G BIVANS (FNP)?
NPI 1548775257 is assigned to PETER G BIVANS (FNP) under the national enumeration system.
Is PETER G BIVANS (FNP) currently active in the NPI registry?
CMS-published data lists PETER G BIVANS (FNP) as an active registrant.
What does PETER G BIVANS (FNP) treat or focus on?
Patients typically see PETER G BIVANS (FNP) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for PETER G BIVANS (FNP)?
The page summarizes Smithton, Illinois for PETER G BIVANS (FNP); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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