JULIE K MIYAMASU (APN-CNP) – Nurse Practitioner, NPI 1669410080
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for JULIE K MIYAMASU (APN-CNP)
PO BOX 735044
CHICAGO, IL 606735044
Phone: (800) 326-2250
Type: Mailing
4101 1st Ave
Lyons, IL 605341028
Phone: (800) 323-8622
Fax: (224) 225-0394
Type: Location
29373 NETWORK PL
CHICAGO, IL 606731293
Phone: (847) 390-5900
Type: Mailing
200 E ROOSEVELT RD
VILLA PARK, IL 601813500
Phone: (800) 323-8622
Type: Mailing
Walgreens, 4101, 1st Avenue, Lyons, Lyons Township, Cook County, Illinois, 60534, United States
LYONS, IL 605341028
Phone: (800) 323-8622
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: 2026-02-04
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 |
|---|---|---|---|---|
| I20050907001094 | I | Nurse Practitioner | IL | TBD |
| I20260204003274 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60673)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | IL | 81002 | Urinalysis, manual test | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| H E M A T O L O G Y/ O N C O L O G Y | WI | |
| Hospitalist, Internal Medicine | WI | |
| Family Practice | WI | |
| Geriatric Medicine, Internal Medicine | WI | |
| - | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Hospitalist, Internal Medicine | MI | |
| Obstetrics/Gynecology, Osteopathic Manipulative Medicine | WI |
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