PATRICIA ANN NIELSEN (NP) – Family Nurse Practitioner, NPI 1649463811
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for PATRICIA ANN NIELSEN (NP)
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 604611010
Phone: (844) 740-4445
Fax: (708) 679-2161
Type: Location
410, West Court Street, Kankakee, Kankakee County, Illinois, 60901, United States
KANKAKEE, IL 609013675
Phone: (888) 828-3192
Type: Mailing
1423, Chicago Road, Indian Hill, Chicago Heights, Bloom Township, Cook County, Illinois, 60411, United States
CHICAGO HEIGHTS, IL 604113400
Phone: (708) 747-4000
Type: Location
1423 Chicago Rd
Chicago Heights, IL 604113400
Phone: (708) 747-4000
Type: Location
35318 EAGLE WAY
CHICAGO, IL 606781353
Phone: (131) 752-8480
Fax: (317) 865-1479
Type: Mailing
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: 2008-01-08
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 |
|---|---|---|---|---|
| I20080108000873 | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 112 | 109 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 71 | 69 | $0 |
Insurance plans in this area (ZIP 60461)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| - | IL | |
| - | IL | |
| Physician Assistant | MI | |
| Physician Assistant | IL | |
| - | NY | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | MI | |
| Physician Assistant | IL |
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