MR. PAUL S III HAVRILKA (APRN, FNP-C) – Family Nurse Practitioner, NPI 1801071543
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MR. PAUL S III HAVRILKA (APRN, FNP-C)
602 S 42nd St
Mount Vernon, IL 628646264
Phone: (618) 899-3278
Type: Location
104 E Market St
Mc Leansboro, IL 628591317
Phone: (618) 244-4800
Fax: (618) 532-3128
Type: Location
1003 E McCord St
Centralia, IL 628013345
Phone: (618) 436-6633
Type: Location
8, Cusumano Professional Plaza Drive, Mount Vernon, Jefferson County, Illinois, 62864, United States
MOUNT VERNON, IL 628646736
Phone: (618) 244-4800
Fax: (618) 532-3128
Type: Mailing
208, East 3rd Street, Centralia, Marion County, Illinois, 62801, United States
CENTRALIA, IL 628013902
Phone: (618) 244-4800
Fax: (618) 532-3128
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 151 Open Payments records for all available years, with a total value of $2,748.
Total Amount is formed as General ($2,748) + Research ($0) + Ownership ($0) = $2,748.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novo Nordisk Inc ($563).
Total Amount
$2,748
General + Research + Ownership
Payments
151
Total payment records
General Amount
$2,748
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $563 |
| AstraZeneca Pharmaceuticals LP | $391 |
| Amgen Inc. | $307 |
| Abbott Laboratories | $237 |
| Lilly USA, LLC | $145 |
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: 2017-04-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20140123001132 | I | Nurse Practitioner | IL | TBD |
| I20170425000092 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 285 | 112 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 98 | 17 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 95 | 50 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 50 | 37 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 21 | 21 | $0 |
Insurance plans in this area (ZIP 62864)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Nurse Midwife (Cnm) | VA | |
| - | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| - | IL | |
| - | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NC | |
| Certified Nurse Midwife (Cnm) | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL |
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