MRS. REBECCA EUGENIA SPARKS (ANP) – Family Nurse Practitioner, NPI 1922169945

MRS. REBECCA EUGENIA SPARKS (ANP) is a healthcare provider. based in Effingham, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP. They hold a License No. 209005418 (IL). The NPI Number for MRS. REBECCA EUGENIA SPARKS (ANP) is 1922169945

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. REBECCA EUGENIA SPARKS (ANP)
NPI
1922169945
Phone
(217) 540-6680
Address
1200 W Niccum Ave
Enumeration Date
13 December 2006
Last Update Date
26 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2172585900
Graduation Year
2004 (22 years ago)
PAC ID
7911005491
Group Practice PAC ID
3577456037
Professional Enrollment ID
I20070606000639
Address ID
IL619389200MA2512XDRXX306
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MRS. REBECCA EUGENIA SPARKS (ANP)

  • 1200 W Niccum Ave

    swuite 1

    Effingham, IL 624014217

    Phone: (217) 540-6680

    Fax: (217) 540-6689

    Type: Location

  • 2512 HURST DR STE 120

    MATTOON, IL 619389200

    Phone: (217) 258-7590

    Fax: (217) 258-3686

    Type: Mailing

  • 1200, West Niccum Avenue, Effingham, Effingham County, Illinois, 62401, United States

    EFFINGHAM, IL 624014217

    Phone: (217) 540-6680

    Fax: (217) 540-6689

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $1,098.

Total Amount is formed as General ($1,098) + Research ($0) + Ownership ($0) = $1,098.

Last reported payment date: 2024-03-28 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($257).

Total Amount

$1,098

General + Research + Ownership

Payments

50

Total payment records

General Amount

$1,098

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-28

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-06-06

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
I20070606000639INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62401)

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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: 3577456037View full group profile
NameSpecialtyState
Internal Medicine, HospitalistIL
Nurse PractitionerIL
Internal Medicine, Family PracticeIL
-IL
Hospitalist, Internal MedicineIL
Nurse PractitionerIL
Internal MedicineIL
Internal Medicine, Cardiovascular Disease (Cardiology)IL
Physician AssistantIL
Family Practice, Emergency MedicineIL

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. REBECCA EUGENIA SPARKS (ANP)?
NPI 1922169945 is assigned to MRS. REBECCA EUGENIA SPARKS (ANP) under the national enumeration system.
Does this profile mean MRS. REBECCA EUGENIA SPARKS (ANP) is currently active?
Yes — MRS. REBECCA EUGENIA SPARKS (ANP) appears active in the national provider directory.
What kind of provider is MRS. REBECCA EUGENIA SPARKS (ANP)?
The page reflects Family Nurse Practitioner for MRS. REBECCA EUGENIA SPARKS (ANP). Clinical services aligned with this taxonomy classification.
Where is MRS. REBECCA EUGENIA SPARKS (ANP)'s primary listing?
We display Effingham, Illinois because that is what the record indicates for MRS. REBECCA EUGENIA SPARKS (ANP).
Is MRS. REBECCA EUGENIA SPARKS (ANP) a real provider?
This page reflects official NPPES data for NPI 1922169945. Always confirm identity and privileges with the practice and licensing boards.

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