MS. TRACEY ANN ODISHOO (C.N.P.) – Nurse Practitioner, NPI 1942209622
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
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Provider Addresses for MS. TRACEY ANN ODISHOO (C.N.P.)
Centegra Hospital-Woodstock, 3701, Doty Road, Woodstock, McHenry County, Illinois, 60098, United States
WOODSTOCK, IL 600987509
Phone: (815) 338-6600
Fax: (815) 206-1086
Type: Mailing
4201 W Medical Center Dr
McHenry, IL 600508409
Phone: (815) 338-6600
Type: Location
10400 Haligus Rd
Huntley, IL 601429553
Phone: (815) 338-6600
Type: Location
3707 Doty Rd Ste D
Woodstock, IL 600987530
Phone: (815) 338-6600
Fax: (815) 206-1086
Type: Location
10350 Haligus Rd Ste 200
Huntley, IL 601429545
Phone: (815) 338-6600
Fax: (847) 802-7265
Type: Location
360 Station Dr
Crystal Lake, IL 600147978
Phone: (630) 321-8300
Type: Location
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 $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2024-05-24 • Largest payer in this snapshot: ABBVIE INC. ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $22 |
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: 2004-06-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040628000636 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 44 | 24 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 31 | 14 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 22 | 18 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 16 | 13 | $0 |
Insurance plans in this area (ZIP 60098)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL |
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