GRACYKUTTY T SEBASTIAN (CNP) – Nurse Practitioner, NPI 1629375985

GRACYKUTTY T SEBASTIAN (CNP) is a healthcare provider. based in Mchenry, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 209-007338 (IL). The NPI Number for GRACYKUTTY T SEBASTIAN (CNP) is 1629375985

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
GRACYKUTTY T SEBASTIAN (CNP)
NPI
1629375985
Phone
(815) 338-6600
Address
4309 W MEDICAL CENTER DR STE A102
Enumeration Date
23 February 2011
Last Update Date
21 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3126950870
Graduation Year
1984 (42 years ago)
PAC ID
4587849898
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20110502000664
Address ID
IL612656175MO515XXDRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for GRACYKUTTY T SEBASTIAN (CNP)

  • 4309 W MEDICAL CENTER DR STE A102

    MCHENRY, IL 600508436

    Phone: (815) 338-6600

    Type: Mailing

  • 4201 W MEDICAL CENTER DR

    MCHENRY, IL 600508409

    Phone: (815) 759-4323

    Fax: (815) 759-4948

    Type: Mailing

  • 2971 W Algonquin Rd

    Suite 104

    Algonquin, IL 601029406

    Phone: (847) 658-7693

    Fax: (847) 658-7986

    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: 2011-05-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110502000664INurse PractitionerILTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes406245$0
99238Hospital discharge day management, 30 minutes or less143140$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes8460$0
99214Established patient office or other outpatient visit, 30-39 minutes5136$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3838$0
View full utilization report →

Insurance plans in this area (ZIP 60050)

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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: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is GRACYKUTTY T SEBASTIAN (CNP)'s NPI number?
GRACYKUTTY T SEBASTIAN (CNP)'s NPI is 1629375985 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to GRACYKUTTY T SEBASTIAN (CNP)?
You should see GRACYKUTTY T SEBASTIAN (CNP) as active in CMS-hosted NPPES data.
What kind of doctor is GRACYKUTTY T SEBASTIAN (CNP)?
GRACYKUTTY T SEBASTIAN (CNP) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is GRACYKUTTY T SEBASTIAN (CNP) registered?
Use Mchenry, Illinois as the headline location for GRACYKUTTY T SEBASTIAN (CNP) here.
When was this NPI issued?
Enumeration for GRACYKUTTY T SEBASTIAN (CNP) is noted as February 23, 2011 where the registry provides it.

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