TODD W HANEY (NP) – Nurse Practitioner, NPI 1598198673
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for TODD W HANEY (NP)
2824 ELKHART ROAD
GOSHEN, IN 465261014
Phone:
Type: Mailing
2824 Elkhart Road
Goshen, IN 465261014
Phone: (574) 535-1700
Fax: (574) 535-1799
Type: Location
2002 S 11TH ST
NILES, MI 491204074
Phone: (269) 687-0200
Fax: (269) 684-0199
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $850.
Total Amount is formed as General ($850) + Research ($0) + Ownership ($0) = $850.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Amgen Inc. ($60).
Total Amount
$850
General + Research + Ownership
Payments
49
Total payment records
General Amount
$850
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $60 |
| GlaxoSmithKline, LLC. | $50 |
| Lilly USA, LLC | $48 |
| Bayer Healthcare Pharmaceuticals Inc. | $47 |
| AstraZeneca Pharmaceuticals LP | $42 |
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: 2013-11-09
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 |
|---|---|---|---|---|
| I20131109000234 | I | Nurse Practitioner | MI | 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 46526)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Clinical Psychologist | PA | |
| Family Practice | MI | |
| Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Family Practice | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI |
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