SUSAN C. PAVLICK (RN-C, FNP) – Family Nurse Practitioner, NPI 1679550420

Family Nurse Practitioner

SUSAN C. PAVLICK (RN-C, FNP) is a healthcare provider. based in Streator, Illinois. specializing in Family Nurse Practitioner. They hold the professional credentials RN-C, FNP. They hold a License No. F330105 (NY). The NPI Number for SUSAN C. PAVLICK (RN-C, FNP) is 1679550420

Main info

Female

40 Years Of Experience

Accepts Medicare Assignment

Name

SUSAN C. PAVLICK (RN-C, FNP)

NPI

1679550420

Phone

(815) 672-1382

Address

2377 BLOOMINGTON AVENUE

Enumeration Date

22 December 2005

Last Update Date

14 January 2013

Doctor Profile

Medical School Name

YALE UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

8156732311

Graduation Year

1986 (40 years ago)

PAC ID

3678594413

Group Practice PAC ID

3678889789

Professional Enrollment ID

I20130322000029

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience63

Completeness75

Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for SUSAN C. PAVLICK (RN-C, FNP)

2377 BLOOMINGTON AVENUE
SUITE B
STREATOR, IL 613641307
Phone: (815) 672-1382
Mailing address matches the actual address.

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: 2013-03-22

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

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
I20130322000029	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99214	Established patient office or other outpatient visit, 30-39 minutes	30	30	$0

View full utilization report →

Insurance plans in this area (ZIP 61364)

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Provider's Procedures

SUSAN C. PAVLICK (RN-C, FNP) performs procedures in Family Nurse Practitioner. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
NURSE PRACTITIONER	IL	85610	Blood test, clotting time	26	14
NURSE PRACTITIONER	IL	90670	Pneumococcal vaccine for injection into muscle	60	60

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: 3678889789View full group profile

Name	Specialty	State
MR. RYAN EUGENE PARNHAM (NP-C)	Nurse Practitioner	IL
KARA KAYE SHARPF (RN, MSN, FNP-BC)	-	IL
DR. RAYAN ABDO ELKATTAH (M.D.)	-	TN
MELISSA HAJOSTEK (APN)	-	IL
MRS. JESSICA SCOT GAY (MSN, APRN, FNP-BC)	-	IL
MRS. SUSAN E. JORDAN (APN)	-	IL
CHRISTINE L KAGE-WILLIS (LDN)	-	IL
MRS. MORGAN ELIZABETH HARRIS (CNP)	-	IL
MR. BLESSING KUDAKWASHE TUPIRI (PA)	Physician Assistant	MO
PHILIP A FIFIELD (M.D.)	-	IL

Reviews

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Frequently asked questions

What number should I use to identify SUSAN C. PAVLICK (RN-C, FNP) for billing?

Administrative and clinical systems typically use NPI 1679550420 for SUSAN C. PAVLICK (RN-C, FNP).

Quick check: is SUSAN C. PAVLICK (RN-C, FNP) active?

Public NPPES data shows SUSAN C. PAVLICK (RN-C, FNP) with an active NPI status right now.

Which specialty label fits SUSAN C. PAVLICK (RN-C, FNP)?

NPPES ties SUSAN C. PAVLICK (RN-C, FNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.

Can patients visit SUSAN C. PAVLICK (RN-C, FNP) in Streator, Illinois?

For routing, start with Streator, Illinois for SUSAN C. PAVLICK (RN-C, FNP), then verify phone and hours locally.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.