CEDRIC JUAN MCKOY (APN) – Acute Care Nurse Practitioner, NPI 1952529372

CEDRIC JUAN MCKOY (APN) is a healthcare provider. based in Evergreen park, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209005033 (IL). The NPI Number for CEDRIC JUAN MCKOY (APN) is 1952529372

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
CEDRIC JUAN MCKOY (APN)
NPI
1952529372
Phone
(773) 372-5113
Address
9525 S SPAULDING AVE
Enumeration Date
23 April 2007
Last Update Date
18 August 2015

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
7737021000
Graduation Year
2003 (23 years ago)
PAC ID
4486669272
Group Practice PAC ID
7618880766
Professional Enrollment ID
I20060215000576
Address ID
IL606371443CH5841XAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for CEDRIC JUAN MCKOY (APN)

  • 9525 S SPAULDING AVE

    EVERGREEN PARK, IL 608052200

    Phone: (773) 372-5113

    Type: Mailing

  • 5841 S MARYLAND AVE # 2030

    CHICAGO, IL 606371447

    Phone: (773) 834-7854

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $94.

Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Chiesi USA, Inc. ($94).

Total Amount

$94

General + Research + Ownership

Payments

5

Total payment records

General Amount

$94

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Chiesi USA, Inc.$94
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: 2006-02-15

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
I20060215000576INurse 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
99212Established patient office or other outpatient visit, 10-19 minutes7259$0
99214Established patient office or other outpatient visit, 30-39 minutes5757$0
99495Transitional care management services for problem of at least moderate complexity1515$0
View full utilization report →

Insurance plans in this area (ZIP 60805)

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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: 7618880766View full group profile
NameSpecialtyState
Endocrinology, Internal MedicineIL
N E U R O S U R G E R YIL
Nurse PractitionerIL
-IL
Gastroenterology, Internal MedicineCT
Internal MedicineIL
Internal MedicineIL
-IL
Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology)IL
-CA

Reviews

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Frequently asked questions

What is the standard ID for CEDRIC JUAN MCKOY (APN) in the U.S.?
In the U.S., CEDRIC JUAN MCKOY (APN) is identified by NPI 1952529372.
Does the public listing show CEDRIC JUAN MCKOY (APN) as active?
CEDRIC JUAN MCKOY (APN)'s NPI record reflects an active status in NPPES.
Which specialty label fits CEDRIC JUAN MCKOY (APN)?
NPPES ties CEDRIC JUAN MCKOY (APN) to Acute Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit CEDRIC JUAN MCKOY (APN) in Evergreen Park, Illinois?
For routing, start with Evergreen Park, Illinois for CEDRIC JUAN MCKOY (APN), then verify phone and hours locally.
Who maintains CEDRIC JUAN MCKOY (APN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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