MS. JUSTYNA E POMIOTLO (N.P.) – General Practice Physician, NPI 1629475546
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MS. JUSTYNA E POMIOTLO (N.P.)
3046 127TH ST
BLUE ISLAND, IL 604061827
Phone: (708) 377-7920
Fax: (708) 930-0414
Type: Location
PO BOX 781076
DETROIT, MI 482781076
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
4500 W 181ST AVE
LOWELL, IN 463560017
Phone: (219) 690-2016
Fax: (219) 690-1862
Type: Location
6097 Broadway Ste 100
Merrillville, IN 464102619
Phone: (219) 444-0001
Fax: (219) 500-2180
Type: Location
PO BOX 746715
ATLANTA, GA 303746715
Phone: (708) 292-7000
Fax: (708) 887-5874
Type: Mailing
1401 N WESTERN AVE
CHICAGO, IL 606221735
Phone: (708) 292-7000
Fax: (708) 887-5874
Type: Location
6097 BROADWAY STE 100
MERRILLVILLE, IN 464102619
Phone: (219) 444-0001
Fax: (219) 500-2180
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2023-09-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20150424001311 | I | Nurse Practitioner | IN | TBD |
| I20230914003565 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 61 | 38 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 24 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 15 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 16 | 16 | $0 |
Insurance plans in this area (ZIP 60406)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | IL | |
| - | IL | |
| Clinical Social Worker | IL | |
| - | PA | |
| - | IL | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | IL | |
| Family Practice | IN | |
| - | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.