SUSAN RENEE TUTTLE (APN) – Nurse Practitioner, NPI 1740286988

SUSAN RENEE TUTTLE (APN) is a healthcare provider. based in Red bud, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209003723 (IL). The NPI Number for SUSAN RENEE TUTTLE (APN) is 1740286988

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN RENEE TUTTLE (APN)
NPI
1740286988
Phone
(618) 282-7373
Address
325 SPRING ST
Enumeration Date
22 June 2005
Last Update Date
29 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
0345377438
Group Practice PAC ID
9537531579
Professional Enrollment ID
I20100421000692
Address ID
IL622781105RE325XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for SUSAN RENEE TUTTLE (APN)

  • Red Bud Regional Hospital, 325, Spring Street, Red Bud, Randolph County, Illinois, 62278, United States

    RED BUD, IL 622781105

    Phone: (618) 282-7373

    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: 2010-04-21

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
I20100421000692INurse 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 62278)

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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: 9537531579View full group profile
NameSpecialtyState
Nurse PractitionerIL
Physician AssistantIL
Family PracticeNV
General SurgeryIL
Physician AssistantIL
Nurse PractitionerIL
Nurse PractitionerIL
General SurgeryOH
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I use this page to confirm SUSAN RENEE TUTTLE (APN)'s NPI?
Yes. SUSAN RENEE TUTTLE (APN) is listed with NPI 1740286988 in the public NPI dataset.
Is SUSAN RENEE TUTTLE (APN) listed as active for patients and plans?
The listing shows SUSAN RENEE TUTTLE (APN) as active in the NPI system.
What taxonomy line describes SUSAN RENEE TUTTLE (APN)?
For research purposes, treat SUSAN RENEE TUTTLE (APN) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for SUSAN RENEE TUTTLE (APN)?
SUSAN RENEE TUTTLE (APN)'s geographic hint is Red Bud, Illinois in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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