JOHANNA SHEA ESTES (RD, IBCLC, MSNFNP-C) – Registered Dietitian, NPI 1558685156
Registered Dietitian
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for JOHANNA SHEA ESTES (RD, IBCLC, MSNFNP-C)
8 DOCTORS PARK RD
MOUNT VERNON, IL 628646224
Phone: (618) 244-5500
Fax: (618) 246-1247
Type: Mailing
4101 N WATER TOWER PL
MOUNT VERNON, IL 628646296
Phone: (618) 244-6222
Fax: (618) 246-1247
Type: Location
211 FRIDAY CENTER DR
SUITE 2091, ROOM 2102
CHAPEL HILL, NC 275179499
Phone: (919) 966-5804
Fax: (919) 966-9983
Type: Mailing
101 MANNING DR
DEPT OF NUTRITION SERVICES
CHAPEL HILL, NC 275144220
Phone: (919) 966-0829
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 77 Open Payments records for all available years, with a total value of $1,289.
Total Amount is formed as General ($1,289) + Research ($0) + Ownership ($0) = $1,289.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novo Nordisk Inc ($437).
Total Amount
$1,289
General + Research + Ownership
Payments
77
Total payment records
General Amount
$1,289
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $437 |
| AstraZeneca Pharmaceuticals LP | $230 |
| Lilly USA, LLC | $223 |
| Dexcom, Inc. | $67 |
| GlaxoSmithKline, LLC. | $58 |
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: 2023-07-06
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 |
|---|---|---|---|---|
| I20230706002057 | I | Nurse Practitioner | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62864)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine, Pulmonary Disease | IL | |
| Internal Medicine | IL | |
| Physician Assistant | IL |
Reviews
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