MRS. NICOLA BENNETT (APNP) – Nurse Practitioner, NPI 1942655865
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MRS. NICOLA BENNETT (APNP)
915 N Caron Rd
Rochelle, IL 610689649
Phone: (815) 561-8866
Type: Location
318 N Church St
Rockford, IL 611011006
Phone: (815) 494-1594
Type: Location
3400 E Racine St
Janesville, WI 535462344
Phone: (608) 373-8000
Fax: (608) 373-8067
Type: Location
6349, White Berry Lane, Loves Park, Winnebago County, Illinois, 61111, United States
LOVES PARK, IL 611113412
Phone: (815) 282-2664
Type: Mailing
915, North Caron Road, Rochelle, Ogle County, Illinois, 61068, United States
ROCHELLE, IL 610689649
Phone: (815) 561-8866
Type: Location
PO BOX 639295 DEPT 93394
CINCINNATI, OH 452639295
Phone: (484) 346-1692
Fax: (855) 618-6655
Type: Mailing
1000 BURR RIDGE PKWY STE 201
BURR RIDGE, IL 605270864
Phone: (312) 818-4650
Fax: (855) 618-2629
Type: Location
3400 E RACINE ST
JANESVILLE, WI 535462344
Phone: (608) 373-8000
Fax: (608) 373-8067
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: 2025-10-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20200805003181 | I | Nurse Practitioner | IL | TBD |
| I20250317003875 | I | Nurse Practitioner | FL | TBD |
| I20251002003883 | I | Nurse Practitioner | LA | 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 |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 229 | 86 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 41 | 32 | $0 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 37 | 29 | $0 |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 36 | 36 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 34 | 34 | $0 |
Insurance plans in this area (ZIP 61068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Peripheral Vascular Disease | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | FL | |
| Nurse Practitioner | AR | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | FL |
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