GWENDOLYN SUE KRESOVSKY (NP-C) – Family Nurse Practitioner, NPI 1649465410
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,241 NURSE PRACTITIONER in IN
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Provider Addresses for GWENDOLYN SUE KRESOVSKY (NP-C)
3015, 10th Street, Wynnton, Columbus, Muscogee County, Georgia, 31906, United States
COLUMBUS, IN 472017090
Phone: (812) 372-8426
Fax: (812) 378-7777
Type: Location
Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States
CHICAGO, IL 606775383
Phone: (812) 376-5315
Type: Mailing
2118 25TH ST STE D
COLUMBUS, IN 472013240
Phone: (812) 372-8281
Fax: (812) 372-4525
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $783.
Total Amount is formed as General ($783) + Research ($0) + Ownership ($0) = $783.
Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($228).
Total Amount
$783
General + Research + Ownership
Payments
33
Total payment records
General Amount
$783
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $228 |
| ABBVIE INC. | $144 |
| PFIZER INC. | $50 |
| Novo Nordisk Inc | $43 |
| Almatica Pharma LLC | $40 |
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: 2008-02-22
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20080222000143 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 252 | 135 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 224 | 139 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 152 | 100 | $0 |
| G0008 | Administration of influenza virus vaccine | 71 | 68 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 64 | 64 | $0 |
Insurance plans in this area (ZIP 47201)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | IN | 81002 | Urinalysis, manual test | 74 | 57 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physician Assistant | IN | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | IN | |
| N E U R O L O G Y | FL | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IL | |
| Family Practice | IN | |
| Family Practice | IN | |
| Physician Assistant | IL | |
| Nurse Practitioner | IN |
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