OLIVIA AL-HAMDAN (APRN) – Family Nurse Practitioner, NPI 1699454819

OLIVIA AL-HAMDAN (APRN) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 209027645 (IL). The NPI Number for OLIVIA AL-HAMDAN (APRN) is 1699454819

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
OLIVIA AL-HAMDAN (APRN)
NPI
1699454819
Phone
(773) 629-8217
Address
3258 W 111TH ST
Enumeration Date
14 July 2023
Last Update Date
15 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7084008881
Graduation Year
2022 (4 years ago)
PAC ID
4284080276
Group Practice PAC ID
9032653779
Professional Enrollment ID
I20231027000040
Address ID
IL604623712OR15345RDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for OLIVIA AL-HAMDAN (APRN)

  • 3258 W 111TH ST

    CHICAGO, IL 606552729

    Phone: (773) 629-8217

    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: 2023-10-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231027000040INurse PractitionerILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60655)

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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: 9032653779View full group profile
NameSpecialtyState
Nurse PractitionerIL
Physician AssistantIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do payers reference OLIVIA AL-HAMDAN (APRN)?
For OLIVIA AL-HAMDAN (APRN), use NPI 1699454819 as the unique 10-digit identifier.
Is there an active status for OLIVIA AL-HAMDAN (APRN)?
For scheduling context, OLIVIA AL-HAMDAN (APRN) is shown as active in the registry.
What kind of doctor is OLIVIA AL-HAMDAN (APRN)?
OLIVIA AL-HAMDAN (APRN) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with OLIVIA AL-HAMDAN (APRN)?
Directory geography for OLIVIA AL-HAMDAN (APRN) centers on Chicago, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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