CORINNE MONIQUE HERTSEL – Family Nurse Practitioner, NPI 1164064119

CORINNE MONIQUE HERTSEL is a healthcare provider. based in Syracuse, Indiana. specializing in NURSE PRACTITIONER. They hold a License No. 28173822A (IN). The NPI Number for CORINNE MONIQUE HERTSEL is 1164064119

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CORINNE MONIQUE HERTSEL
NPI
1164064119
Phone
(574) 457-8585
Address
107 W PICKWICK DR STE A
Enumeration Date
10 October 2019
Last Update Date
10 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5742694026
Graduation Year
2019 (7 years ago)
PAC ID
5193157766
Group Practice PAC ID
5496809956
Professional Enrollment ID
I20191120000801
Address ID
IN465803265WA1275XDRXX300
Telehealth
Yes

Contacts

Other Endpoint
Syracuse
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:6State licenses:2Other namesUpdated within 12 months

8,192 NURSE PRACTITIONER in IN

Provider Addresses for CORINNE MONIQUE HERTSEL

  • 107 W PICKWICK DR STE A

    SYRACUSE, IN 465671832

    Phone: (574) 457-8585

    Fax: (260) 479-2913

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $456.

Total Amount is formed as General ($456) + Research ($0) + Ownership ($0) = $456.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($92).

Total Amount

$456

General + Research + Ownership

Payments

27

Total payment records

General Amount

$456

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

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: 2019-11-20

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
I20191120000801INurse PractitionerINTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes9584$0
99214Established patient office or other outpatient visit, 30-39 minutes7247$0
36415Insertion of needle into vein for collection of blood sample6340$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3131$0
99495Transitional care management services for problem of at least moderate complexity2119$0
View full utilization report →

Insurance plans in this area (ZIP 46567)

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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: 5496809956View full group profile

Reviews

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Frequently asked questions

What is the standard ID for CORINNE MONIQUE HERTSEL in the U.S.?
In the U.S., CORINNE MONIQUE HERTSEL is identified by NPI 1164064119.
Is CORINNE MONIQUE HERTSEL's NPI status active today?
Active status means CORINNE MONIQUE HERTSEL's NPI record is not deactivated in the public file.
Which specialty label fits CORINNE MONIQUE HERTSEL?
NPPES ties CORINNE MONIQUE HERTSEL to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to CORINNE MONIQUE HERTSEL?
The directory associates CORINNE MONIQUE HERTSEL with Syracuse, Indiana. Check all listed addresses for suites or satellite offices.
Who maintains CORINNE MONIQUE HERTSEL's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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