MICHELLE DIANNE NIEHAUS – Nurse Practitioner, NPI 1629530399
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,529 NURSE PRACTITIONER in IA
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Provider Addresses for MICHELLE DIANNE NIEHAUS
1 UNIVERSITY CIR
MACOMB, IL 614551367
Phone:
Type: Mailing
81 TETON RD
COLCHESTER, IL 623261674
Phone:
Type: Mailing
153, South Gear Avenue, West Burlington, Des Moines County, Iowa, 52655, United States
W BURLINGTON, IA 526551686
Phone: (319) 754-4400
Type: Location
1150 N Cole St
Bushnell, IL 614229503
Phone: (309) 772-9444
Type: Location
1225 S Gear Ave Ste 153
W Burlington, IA 526551686
Phone: (319) 754-4400
Type: Location
515 E Grant St Ste 213
Macomb, IL 614553378
Phone: (309) 837-6937
Type: Location
216 Pittsfield Rd
Mt Sterling IL, IL 62353
Phone: (217) 773-3963
Fax: (217) 773-3426
Type: Location
1025 MAINE ST
QUINCY, IL 623014096
Phone: (217) 222-6550
Fax: (217) 277-2253
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $201.
Total Amount is formed as General ($201) + Research ($0) + Ownership ($0) = $201.
Last reported payment date: 2023-09-13 • Largest payer in this snapshot: ABBVIE INC. ($184).
Total Amount
$201
General + Research + Ownership
Payments
9
Total payment records
General Amount
$201
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $184 |
| Almatica Pharma LLC | $17 |
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: 2019-11-01
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 |
|---|---|---|---|---|
| I20190903002705 | I | Nurse Practitioner | IA | TBD |
| I20191101001095 | 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 |
|---|---|---|---|---|
| 85610 | Blood test, clotting time | 18 | 13 | $0 |
Insurance plans in this area (ZIP 61455)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Oral Surgery | IA | |
| - | MO | |
| Nurse Practitioner | IL | |
| - | IL | |
| Mental Health Counselor | IL | |
| - | IL | |
| Family Practice | IL | |
| Physician Assistant | IL | |
| - | IL |
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