PAUL D. REGAN (APN-CNP) – Nurse Practitioner, NPI 1629595053

PAUL D. REGAN (APN-CNP) is a healthcare provider. based in Yorkville, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN-CNP. They hold a License No. 209016381 (IL). The NPI Number for PAUL D. REGAN (APN-CNP) is 1629595053

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
PAUL D. REGAN (APN-CNP)
NPI
1629595053
Phone
Not provided
Address
409 MCHUGH RD
Enumeration Date
25 August 2017
Last Update Date
6 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
2466728613
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20171017000010
Address ID
IL602011700EV2650XAVEX300
Telehealth
Yes
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:8State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for PAUL D. REGAN (APN-CNP)

  • 409, McHugh Road, Yorkville, Bristol Township, Kendall County, Illinois, 60560, United States

    YORKVILLE, IL 605601217

    Phone:

    Type: Mailing

  • West 127th Street, Plainfield, Will County, Illinois, 60585, United States

    PLAINFIELD, IL 605859527

    Phone: (815) 731-9100

    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: 2017-10-17

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
I20171017000010INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes7627$0
99215Established patient office or other outpatient visit, 40-54 minutes3418$0
99443Telephone medical discussion with physician, 21-30 minutes2713$0
View full utilization report →

Insurance plans in this area (ZIP 60560)

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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: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

Is there an official ID for PAUL D. REGAN (APN-CNP) in U.S. healthcare records?
The official identifier for PAUL D. REGAN (APN-CNP) is NPI 1629595053.
Is there an active status for PAUL D. REGAN (APN-CNP)?
For scheduling context, PAUL D. REGAN (APN-CNP) is shown as active in the registry.
What area of care is associated with PAUL D. REGAN (APN-CNP)?
PAUL D. REGAN (APN-CNP)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for PAUL D. REGAN (APN-CNP)?
Travel planning: use Yorkville, Illinois as the reference point for PAUL D. REGAN (APN-CNP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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