CARLY LOUISE VORMEZEELE (PA-C) – Physician Assistant, NPI 1841756293
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,067 PHYSICIAN ASSISTANT in IL
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Provider Addresses for CARLY LOUISE VORMEZEELE (PA-C)
847, West Homer Street, Freeport, Stephenson County, Illinois, 61032, United States
FREEPORT, IL 610324911
Phone: (712) 253-2576
Type: Mailing
PO BOX 78866
MILWAUKEE, WI 532788866
Phone: (779) 696-7150
Type: Mailing
Swedish American Regional Cancer Center, 3535, North Bell School Road, Rockford, Winnebago County, Illinois, 61114, United States
ROCKFORD, IL 611146624
Phone: (779) 696-9400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-03-25
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 |
|---|---|---|---|---|
| I20190325001390 | I | Physician Assistant | 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 | 54 | 45 | $0 |
Insurance plans in this area (ZIP 61032)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WI | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology) | WI | |
| Physical Therapist In Private Practice | IL | |
| - | IL | |
| Internal Medicine | WI | |
| N E U R O S U R G E R Y | IL | |
| - | WI | |
| Physician Assistant | WI | |
| - | WI | |
| Nurse Practitioner | IL |
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