DR. ANN FITZGERALD (PHD) – Nurse Practitioner, NPI 1396255063
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for DR. ANN FITZGERALD (PHD)
4017 N TAMARACK RD
WALKERTON, IN 465749261
Phone: (574) 360-9838
Fax: (574) 360-9838
Type: Location
4017 N Tamarack Rd
Walkerton, IN 465749261
Phone: (574) 360-9838
Fax: (574) 360-9838
Type: Location
8741 S Greenwood Ave Ste 106-108
Chicago, IL 606197061
Phone: (773) 920-2755
Type: Location
3100 45TH ST STE 3
HIGHLAND, IN 463223277
Phone: (888) 998-7337
Type: Location
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: 2024-07-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180823001107 | I | Nurse Practitioner | IN | TBD |
| I20240729001257 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46574)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Registered Dietitian Or Nutrition Professional | IL | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN |
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