MRS. BAILEY NICOLE NOTZKE (APRN, CNP) – Women's Health Nurse Practitioner, NPI 1588384473
Women's Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,703 NURSE PRACTITIONER in IL
Provider Addresses for MRS. BAILEY NICOLE NOTZKE (APRN, CNP)
1170 Fortune Blvd
Shiloh, IL 622697358
Phone: (844) 872-6249
Type: Location
2005 S SYCAMORE ST
EFFINGHAM, IL 624014160
Phone: (217) 343-6779
Type: Mailing
1170 FORTUNE BLVD
SHILOH, IL 622697358
Phone: (844) 872-6249
Type: Location
611 W PARK ST
URBANA, IL 618012501
Phone: (217) 383-3311
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 81 Open Payments records for all available years, with a total value of $1,885.
Total Amount is formed as General ($1,885) + Research ($0) + Ownership ($0) = $1,885.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Astellas Pharma US Inc ($356).
Total Amount
$1,885
General + Research + Ownership
Payments
81
Total payment records
General Amount
$1,885
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $356 |
| Sumitomo Pharma America, Inc. | $307 |
| Organon LLC | $268 |
| Novo Nordisk Inc | $144 |
| ABBVIE INC. | $80 |
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: 2023-05-31
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20230531000566 | 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 62269)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Certified Nurse Midwife (Cnm) | IL | |
| Certified Nurse Midwife (Cnm) | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Physician Assistant | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL |
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