LYNETTE EETEN (APN) – Nurse Practitioner, NPI 1902276207

LYNETTE EETEN (APN) is a healthcare provider. based in Canton, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209.013158 (IL). The NPI Number for LYNETTE EETEN (APN) is 1902276207

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
LYNETTE EETEN (APN)
NPI
1902276207
Phone
(309) 647-0201
Address
180 S MAIN ST
Enumeration Date
29 September 2015
Last Update Date
6 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096470201
Graduation Year
2015 (11 years ago)
PAC ID
6709196777
Group Practice PAC ID
2769375021
Professional Enrollment ID
I20151103000833
Address ID
IL615202608CA180XXSTXX400

Contacts

Secure Messaging
lynette.eeten@gmail.eclinicaldirectplus.com
Secure Messaging
lynette.eeten@gmgileclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for LYNETTE EETEN (APN)

  • 180 S MAIN ST

    CANTON, IL 615202608

    Phone: (309) 647-0201

    Fax: (309) 649-5101

    Mailing address matches the actual address.

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: 2015-11-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151103000833INurse PractitionerILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes122114$0
96372Injection of drug or substance under skin or into muscle3311$0
81003Automated urinalysis test2220$0
99214Established patient office or other outpatient visit, 30-39 minutes1717$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1212$0
View full utilization report →

Insurance plans in this area (ZIP 61520)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769375021View full group profile
NameSpecialtyState
-IL
Emergency MedicineIL
Nurse PractitionerIL
Vascular Surgery, General SurgeryIL
Nurse PractitionerIL
Nurse PractitionerIL
Vascular SurgeryIL
Family PracticeIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How is LYNETTE EETEN (APN) identified in CMS data?
CMS-hosted NPPES data lists LYNETTE EETEN (APN) with NPI 1902276207.
Is LYNETTE EETEN (APN) listed as active for patients and plans?
The listing shows LYNETTE EETEN (APN) as active in the NPI system.
What taxonomy line describes LYNETTE EETEN (APN)?
For research purposes, treat LYNETTE EETEN (APN) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does LYNETTE EETEN (APN) serve?
LYNETTE EETEN (APN)'s listing highlights Canton, Illinois; more addresses can appear in NPPES.
Is the information about LYNETTE EETEN (APN) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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