MS. COLLETTE ANN KLEIN (RN MSN FPMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1659639862
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MS. COLLETTE ANN KLEIN (RN MSN FPMHNP-BC)
2003 6TH ST
PERU, IL 613542512
Phone: (815) 224-1610
Fax: (815) 223-1634
Type: Mailing
2960 CHARTRES ST
LA SALLE, IL 613011097
Phone: (815) 224-1610
Fax: (815) 223-1634
Type: Location
12 HEALTH SERVICES DR
DEKALB, IL 601159637
Phone: (815) 756-4875
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.
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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: 2012-08-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1012 days ago).
Enrollment records
1
Earliest due date
2023-08-31
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 |
|---|---|---|---|---|
| I20120815000501 | I | Nurse Practitioner | IL | 2023-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61354)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | IL | 90792 | Psychiatric diagnostic evaluation with medical services | 63 | 56 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IL | |
| Mental Health Counselor | IL | |
| Clinical Social Worker | IL | |
| Mental Health Counselor | IL | |
| Nurse Practitioner | IL | |
| Mental Health Counselor | IL | |
| Clinical Social Worker | IL | |
| - | IL | |
| Clinical Social Worker | IL | |
| Clinical Social Worker | IL |
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