MARIE DEBARTOLO (APN) – Nurse Practitioner, NPI 1689921595
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 MARIE DEBARTOLO (APN)
1401 LAKEWOOD DR
SUITE A
MORRIS, IL 604503352
Phone: (815) 942-6323
Fax: (815) 942-6423
Type: Mailing
PO BOX 713260
CHICAGO, IL 606771260
Phone: (630) 469-9200
Type: Mailing
640 S WASHINGTON ST STE 180
NAPERVILLE, IL 605406775
Phone: (815) 942-6323
Fax: (815) 942-6363
Type: Location
PO BOX 7410264
CHICAGO, IL 606740264
Phone: (815) 942-6323
Fax: (779) 210-5541
Type: Mailing
1239 WINDHAM PKWY
ROMEOVILLE, IL 604461608
Phone: (815) 942-6323
Fax: (779) 210-5541
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $523.
Total Amount is formed as General ($523) + Research ($0) + Ownership ($0) = $523.
Last reported payment date: 2024-08-01 • Largest payer in this snapshot: ITI, Inc. ($181).
Total Amount
$523
General + Research + Ownership
Payments
5
Total payment records
General Amount
$523
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ITI, Inc. | $181 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $124 |
| Tris Pharma Inc | $119 |
| ABBVIE INC. | $100 |
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: 2013-08-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1010 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 |
|---|---|---|---|---|
| I20130805000499 | 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 60450)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | IL | |
| Radiation Oncology | IL | |
| Internal Medicine | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IL | |
| Family Practice | IL | |
| P S Y C H I A T R Y | IL | |
| Physician Assistant | IL | |
| Family Practice | IL |
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