YVONNE FILLMORE (ANP) – Family Nurse Practitioner, NPI 1356794317

YVONNE FILLMORE (ANP) is a healthcare provider. based in Wilton, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP. They hold a License No. 041425493 (IL). The NPI Number for YVONNE FILLMORE (ANP) is 1356794317

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
YVONNE FILLMORE (ANP)
NPI
1356794317
Phone
(563) 732-2121
Address
400 Oversen Rd
Enumeration Date
14 July 2016
Last Update Date
18 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3099242414
Graduation Year
2016 (10 years ago)
PAC ID
1658664693
Group Practice PAC ID
3577596030
Professional Enrollment ID
I20190909003541
Address ID
IL614693204OQ1204XEXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:9State licenses:2Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

Provider Addresses for YVONNE FILLMORE (ANP)

  • 400 Oversen Rd

    Wilton, IA 52778

    Phone: (563) 732-2121

    Type: Location

  • PO BOX 198

    OQUAWKA, IL 614690198

    Phone: (309) 924-2414

    Type: Mailing

  • 400 OVERSEN DR

    WILTON, IA 527789612

    Phone: (563) 732-2121

    Type: Mailing

  • 400 OVERSEN RD

    WILTON, IA 52778

    Phone: (563) 732-2121

    Type: Location

  • 1204 HIGHWAY 164 E

    PO BOX 198

    OQUAWKA, IL 614696146

    Phone: (309) 867-2202

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $223.

Total Amount is formed as General ($223) + Research ($0) + Ownership ($0) = $223.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Alkermes, Inc. ($45).

Total Amount

$223

General + Research + Ownership

Payments

13

Total payment records

General Amount

$223

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-09-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190909003541INurse PractitionerILTBD

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
90480Admn sarscov2 vacc 1 dose4141$0
91322Sarscov2 vac 50 mcg/0.5ml im3636$0
81003Automated urinalysis test2712$0
View full utilization report →

Insurance plans in this area (ZIP 52778)

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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: 3577596030View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse Practitioner, Family Practice, PsychiatryIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What NPI should I save for YVONNE FILLMORE (ANP)?
Save NPI 1356794317 if you need a stable reference for YVONNE FILLMORE (ANP).
Is YVONNE FILLMORE (ANP) active in the national directory?
YVONNE FILLMORE (ANP)'s public NPI profile is in an active state.
Does YVONNE FILLMORE (ANP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for YVONNE FILLMORE (ANP). Clinical services aligned with this taxonomy classification.
Where does public data place YVONNE FILLMORE (ANP)?
The snapshot lists Wilton, Iowa for YVONNE FILLMORE (ANP); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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