HOLLY ANN WIRKUS (M.D.) – Hospice and Palliative Medicine (Internal Medicine) Physician, NPI 1912434655

HOLLY ANN WIRKUS (M.D.) is a healthcare provider. based in Oak park, Illinois. specializing in HOSPICE/PALLIATIVE CARE. They hold the professional credentials M.D.. They hold a License No. 4301505152 (MI). The NPI Number for HOLLY ANN WIRKUS (M.D.) is 1912434655

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY ANN WIRKUS (M.D.)
NPI
1912434655
Phone
(708) 763-1222
Address
3 ERIE CT
Enumeration Date
12 May 2017
Last Update Date
19 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3138845522
Graduation Year
2017 (9 years ago)
PAC ID
5395016935
Group Practice PAC ID
3173424082
Professional Enrollment ID
I20210715002534
Address ID
MI482362857GR19229AVEX313
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

176 HOSPICE/PALLIATIVE CARE in IL

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Provider Addresses for HOLLY ANN WIRKUS (M.D.)

  • West Suburban Medical Center, 3, Erie Court, Ridgeland, Oak Park, Cook County, Illinois, 60302, United States

    SUITE L700

    OAK PARK, IL 603022519

    Phone: (708) 763-1222

    Fax: (708) 763-1471

    Type: Mailing

  • 22101 MOROSS RD

    DETROIT, MI 482362148

    Phone:

    Type: Mailing

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: 2021-07-15

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
I20210715002534IHospice/Palliative CareMITBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7068$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4432$0
View full utilization report →

Insurance plans in this area (ZIP 60302)

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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: 3173424082View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
-MI
-MI
-MI
Infectious DiseaseMI
H E M A T O L O G Y/ O N C O L O G YMO
-MI
-MI
H E M A T O L O G Y/ O N C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

What number should I use to identify HOLLY ANN WIRKUS (M.D.) for billing?
Administrative and clinical systems typically use NPI 1912434655 for HOLLY ANN WIRKUS (M.D.).
Does the public listing show HOLLY ANN WIRKUS (M.D.) as active?
HOLLY ANN WIRKUS (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say HOLLY ANN WIRKUS (M.D.) does?
Insurance directories may phrase it differently, but here HOLLY ANN WIRKUS (M.D.) maps to Hospice and Palliative Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to HOLLY ANN WIRKUS (M.D.)?
HOLLY ANN WIRKUS (M.D.) is associated with Oak Park, Illinois in the same public data insurers reference.
Can I export HOLLY ANN WIRKUS (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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