CARA A GRAVLIN (ACNP) – Acute Care Nurse Practitioner, NPI 1912093816

CARA A GRAVLIN (ACNP) is a healthcare provider. based in Decatur, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP. They hold a License No. 209-005882 (IL). The NPI Number for CARA A GRAVLIN (ACNP) is 1912093816

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
CARA A GRAVLIN (ACNP)
NPI
1912093816
Phone
(217) 545-8000
Address
102 W KENWOOD AVE LOWR LEVEL
Enumeration Date
5 October 2006
Last Update Date
26 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2175458000
Graduation Year
2005 (21 years ago)
PAC ID
1658388624
Group Practice PAC ID
2365352820
Professional Enrollment ID
I20060315000755
Address ID
IL625264368DE102XXAVEX402
Telehealth
Yes

Contacts

Secure Messaging
caragravlin@siusm.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for CARA A GRAVLIN (ACNP)

  • 102 W KENWOOD AVE LOWR LEVEL

    DECATUR, IL 625264368

    Phone: (217) 545-8000

    Fax: (217) 545-4485

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $100.

Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.

Last reported payment date: 2023-04-21 • Largest payer in this snapshot: Janssen Biotech, Inc. ($100).

Total Amount

$100

General + Research + Ownership

Payments

1

Total payment records

General Amount

$100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Janssen Biotech, Inc.$100
View all Open Payments →|Open Payments Risk Radar →

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: 2006-03-15

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
I20060315000755INurse 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
17003Destruction of precancer skin growth, 2-14 growths13535$0
99213Established patient office or other outpatient visit, 20-29 minutes9885$0
17000Destruction of precancer skin growth, 1 growth4842$0
11102Biopsy of related skin growth, first growth4542$0
99203New patient office or other outpatient visit, 30-44 minutes4444$0
View full utilization report →

Insurance plans in this area (ZIP 62526)

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Provider's Procedures

CARA A GRAVLIN (ACNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERIL11101Biopsy of each additional growth of skin and/or tissue3728
NURSE PRACTITIONERIL17003Destruction of 2-14 skin growths1203216

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: 2365352820View full group profile
NameSpecialtyState
Internal MedicineIL
Physician AssistantIL
Pulmonary DiseaseIL
D E R M A T O L O G YIL
-IL
E N D O C R I N O L O G YIL
Physician AssistantIL
General SurgeryIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do payers reference CARA A GRAVLIN (ACNP)?
For CARA A GRAVLIN (ACNP), use NPI 1912093816 as the unique 10-digit identifier.
Is there an active status for CARA A GRAVLIN (ACNP)?
For scheduling context, CARA A GRAVLIN (ACNP) is shown as active in the registry.
What clinical focus is listed for CARA A GRAVLIN (ACNP)?
At a glance, CARA A GRAVLIN (ACNP) is tied to Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is CARA A GRAVLIN (ACNP) associated with Decatur?
Public fields place CARA A GRAVLIN (ACNP) around Decatur, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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