NICOLE VETTER (APN) – Family Nurse Practitioner, NPI 1821548207
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 NICOLE VETTER (APN)
9401 HOLY CROSS LN STE 112
BREESE, IL 622303510
Phone: (618) 526-7271
Fax: (618) 526-7313
Type: Mailing
2 GOOD SAMARITAN WAY
MEDICAL PLAZA SUITE 420
MOUNT VERNON, IL 628642408
Phone: (618) 899-4000
Fax: (618) 899-4790
Type: Mailing
2 Good Samaritan Way
Medical Plaza Suite 420
Mount Vernon, IL 628642408
Phone: (618) 899-4000
Fax: (618) 899-4790
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 $31.
Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.
Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Exact Sciences Corporation ($16).
Total Amount
$31
General + Research + Ownership
Payments
2
Total payment records
General Amount
$31
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $16 |
| GlaxoSmithKline, LLC. | $15 |
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: 2016-11-04
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 |
|---|---|---|---|---|
| I20161104000661 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 108 | 62 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 90 | 58 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 55 | 55 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 31 | 27 | $0 |
| 83036 | Hemoglobin a1c level | 23 | 15 | $0 |
Insurance plans in this area (ZIP 62230)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | MO | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| Internal Medicine, Cardiac Electrophysiology | MO | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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