MRS. DOROTHY RENEE CLERICI (FNP) – Nurse Practitioner, NPI 1205277654
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,343 NURSE PRACTITIONER in KY
Provider Addresses for MRS. DOROTHY RENEE CLERICI (FNP)
1075 WALTS RD
GEORGETOWN, IN 471229423
Phone: (812) 951-0387
Type: Mailing
140 WHITTINGTON PKWY
SUITE 100
LOUISVILLE, KY 402224930
Phone: (502) 327-9100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 186 Open Payments records for all available years, with a total value of $3,419.
Total Amount is formed as General ($3,419) + Research ($0) + Ownership ($0) = $3,419.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($525).
Total Amount
$3,419
General + Research + Ownership
Payments
186
Total payment records
General Amount
$3,419
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $525 |
| ABBVIE INC. | $455 |
| Otsuka America Pharmaceutical, Inc. | $337 |
| Lundbeck LLC | $301 |
| Vanda Pharmaceuticals Inc. | $246 |
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: 2013-10-11
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 |
|---|---|---|---|---|
| I20131011000047 | I | Nurse Practitioner | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47122)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IN | |
| - | IN | |
| - | IN | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | TN | |
| - | IN | |
| Physician Assistant | IL | |
| Clinical Social Worker | IN | |
| - | IN | |
| Clinical Social Worker | IN |
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