SHRONDA ANN PHILLIPS (APN) – Nurse Practitioner, NPI 1780231969
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,703 NURSE PRACTITIONER in IL
Provider Addresses for SHRONDA ANN PHILLIPS (APN)
Pontiac Correctional Center
700 W. Lincoln Street
Pontiac, IL 61734
Phone: (815) 842-2816
Type: Location
UnityPoint Health - Methodist, 221, Northeast Glen Oak Avenue, Peoria, Peoria County, Illinois, 61636, United States
PEORIA, IL 616360001
Phone: (309) 672-4670
Type: Mailing
PO BOX 9727
PEORIA, IL 616129727
Phone: (309) 886-9172
Type: Mailing
3525 N UNIVERSITY ST
PEORIA, IL 616041324
Phone: (309) 886-9172
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $254.
Total Amount is formed as General ($254) + Research ($0) + Ownership ($0) = $254.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Lundbeck LLC ($59).
Total Amount
$254
General + Research + Ownership
Payments
14
Total payment records
General Amount
$254
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $59 |
| Amgen Inc. | $58 |
| Bayer Healthcare Pharmaceuticals Inc. | $31 |
| Braeburn Inc. | $29 |
| Almatica Pharma LLC | $22 |
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: 2019-10-23
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20191023000211 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 411 | 26 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 300 | 31 | $0 |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow | 62 | 12 | $0 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 54 | 14 | $0 |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 54 | 14 | $0 |
Insurance plans in this area (ZIP 61734)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | IL | |
| Certified Clinical Nurse Specialist (Cns) | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| Family Practice | GA | |
| Physician Assistant | IL | |
| Physical Therapist In Private Practice | IL |
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