NICOLE MARIE PETERSON (FNP-C) – Family Nurse Practitioner, NPI 1639603913
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,637 NURSE PRACTITIONER in IL
Provider Addresses for NICOLE MARIE PETERSON (FNP-C)
139 Montclair Dr
Cary, IL 600131829
Phone: (847) 322-9331
Type: Location
800 Biesterfield Rd
Elk Grove Village, IL 600073361
Phone: (847) 437-5500
Type: Location
139, Montclair Drive, Cary, McHenry County, Illinois, 60013, United States
CARY, IL 600131829
Phone: (847) 322-9331
Type: Mailing
Ascension St. Mary's - Rhinelander, 2251, North Shore Drive, Rhinelander, Oneida County, Wisconsin, 54501, United States
RHINELANDER, WI 54501
Phone: (800) 866-8673
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $31.
Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($31).
Total Amount
$31
General + Research + Ownership
Payments
1
Total payment records
General Amount
$31
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $31 |
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: 2018-09-12
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 |
|---|---|---|---|---|
| I20180912003598 | I | Nurse Practitioner | WI | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 74 | 73 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 55 | 53 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 53 | 51 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 14 | 13 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 60013)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | WI | |
| - | NC | |
| - | WI | |
| N E U R O L O G Y | IL | |
| - | PA | |
| - | WI | |
| - | WI |
Reviews
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