TAMARA BRECKON – Family Nurse Practitioner, NPI 1740777093
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for TAMARA BRECKON
201 E MADISON ST STE 328
SPRINGFIELD, IL 627025131
Phone: (217) 545-8000
Type: Mailing
425 E STATE ST STE 100
JACKSONVILLE, IL 626502125
Phone: (217) 408-1195
Fax: (217) 408-1231
Type: Location
1515 W Walnut St Ste 2
Jacksonville, IL 626501157
Phone: (217) 243-6454
Type: Location
903 S State St
Jerseyville, IL 620522344
Phone: (618) 498-2273
Fax: (618) 639-8100
Type: Location
Store, 6th Street, Carrollton, Carroll County, Kentucky, 41008, United States
CARROLLTON, IL 620162009
Phone:
Type: Mailing
1515, West Walnut Street, Jacksonville, Morgan County, Illinois, 62650, United States
JACKSONVILLE, IL 62650
Phone: (217) 243-6454
Fax: (217) 243-1388
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $41.
Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.
Last reported payment date: 2023-06-27 • Largest payer in this snapshot: ABBVIE INC. ($41).
Total Amount
$41
General + Research + Ownership
Payments
2
Total payment records
General Amount
$41
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $41 |
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: 2018-06-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180619000126 | 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.
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 62702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Nurse Practitioner | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| - | NY | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Nurse Practitioner | IL | |
| Cardiovascular Disease (Cardiology) | MO | |
| - | NC | |
| Family Practice | IL | |
| Nurse Practitioner | IL |
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