JUDITH A DANSIZEN (CNS) – Nurse Practitioner, NPI 1558493155
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
137 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in IL
Provider Addresses for JUDITH A DANSIZEN (CNS)
420 NE GLEN OAK AVE
STE 401
PEORIA, IL 616033168
Phone: (309) 676-8123
Fax: (309) 676-8455
Type: Mailing
420 NE GLEN OAK AVE STE 401
PEORIA, IL 616033112
Phone: (309) 676-8123
Fax: (309) 676-8455
Type: Location
600 S 13th St Ste K
Pekin, IL 615544936
Phone: (309) 676-8123
Type: Location
180 S Main Ste, Ste 2i
Canton, IL 61520
Phone: (309) 676-8123
Fax: (309) 676-8455
Type: Location
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: 2007-04-02
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 |
|---|---|---|---|---|
| I20070402000113 | I | Certified Clinical Nurse Specialist (Cns) | 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 |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 51 | 33 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 25 | 18 | $0 |
| 99496 | Transitional care management services for problem of high complexity | 16 | 14 | $0 |
| G0420 | Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour | 11 | 11 | $0 |
Insurance plans in this area (ZIP 61603)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED CLINICAL NURSE SPECIALIST | IL | 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 51 | 47 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nephrology, Internal Medicine, Pediatric Medicine | IL | |
| N E P H R O L O G Y | IL | |
| N E P H R O L O G Y | IL | |
| N E P H R O L O G Y | IL | |
| Nephrology, Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IA | |
| - | IL |
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