JUDITH MATTOX (NP) – Nurse Practitioner, NPI 1841629821
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for JUDITH MATTOX (NP)
11845 SOUTHWEST HWY UNIT 12
PALOS HEIGHTS, IL 604631599
Phone: (708) 923-5422
Fax: (708) 923-5458
Type: Mailing
200 E FAIRMAN AVE
WATSEKA, IL 609701644
Phone: (815) 432-5481
Fax: (815) 432-7821
Type: Mailing
455 W Court St
Kankakee, IL 609013679
Phone: (815) 939-3190
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $778.
Total Amount is formed as General ($778) + Research ($0) + Ownership ($0) = $778.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: COLOPLAST CORP ($249).
Total Amount
$778
General + Research + Ownership
Payments
40
Total payment records
General Amount
$778
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| COLOPLAST CORP | $249 |
| Sumitomo Pharma America, Inc. | $159 |
| Astellas Pharma US Inc | $102 |
| Axonics, Inc. | $85 |
| ConvaTec Inc. | $55 |
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: 2014-02-04
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 |
|---|---|---|---|---|
| I20140204000195 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 516 | 351 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 387 | 268 | $0 |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 210 | 29 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 198 | 152 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 94 | 94 | $0 |
Insurance plans in this area (ZIP 60463)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Internal Medicine, Gastroenterology | IN | |
| Internal Medicine | IL | |
| Family Practice | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | IL | |
| Internal Medicine | IL | |
| Family Practice | IL | |
| Internal Medicine, Emergency Medicine | MI | |
| Family Practice, Emergency Medicine | IL |
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