ANDREA TIRPAK (N.P.) – Family Nurse Practitioner, NPI 1629139266
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for ANDREA TIRPAK (N.P.)
407 S JACKSON ST
CERRO GORDO, IL 618184360
Phone: (177) 636-0102
Fax: (217) 763-6012
Type: Mailing
407 S JACKSON ST STE A
CERRO GORDO, IL 618184360
Phone: (217) 763-6010
Fax: (217) 763-6012
Type: Location
1, Memorial Drive, Decatur, Macon County, Illinois, 62526, United States
SUITE 300
DECATUR, IL 625266303
Phone: (217) 872-2400
Fax: (217) 875-4680
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $134.
Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($42).
Total Amount
$134
General + Research + Ownership
Payments
7
Total payment records
General Amount
$134
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-06-07
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 |
|---|---|---|---|---|
| I20040607001167 | 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 61818)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology) | IL | |
| Vascular Surgery, General Surgery | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Nurse Practitioner | IL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Emergency Medicine | IL |
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