MRS. BEVERLY JO MORTIMER (ARNP) – Family Nurse Practitioner, NPI 1053502260
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. BEVERLY JO MORTIMER (ARNP)
201, Park Street, Bowling Green, Warren County, Kentucky, 42101, United States
BOWLING GREEN, KY 421011759
Phone: (270) 780-2497
Fax: (270) 783-3750
Type: Mailing
1330, North Race Street, Glasgow, Barren County, Kentucky, 42141, United States
GLASGOW, KY 421413465
Phone: (270) 629-5111
Fax: (270) 783-3760
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 136 Open Payments records for all available years, with a total value of $1,882.
Total Amount is formed as General ($1,882) + Research ($0) + Ownership ($0) = $1,882.
Last reported payment date: 2024-09-02 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($413).
Total Amount
$1,882
General + Research + Ownership
Payments
136
Total payment records
General Amount
$1,882
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $413 |
| Novo Nordisk Inc | $203 |
| Bayer Healthcare Pharmaceuticals Inc. | $186 |
| ABBVIE INC. | $148 |
| Lilly USA, LLC | $97 |
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: 2007-09-19
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 |
|---|---|---|---|---|
| I20070919000405 | I | Nurse Practitioner | KY | 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 | 351 | 160 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 124 | 52 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 108 | 108 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 85 | 67 | $0 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 74 | 23 | $0 |
Insurance plans in this area (ZIP 42101)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | KY | 83036 | Hemoglobin A1C level | 140 | 89 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| Nurse Practitioner | KY | |
| U R O L O G Y | KY | |
| Nurse Practitioner | KY | |
| - | KY | |
| - | KY | |
| - | KY | |
| A L L E R G Y/ I M M U N O L O G Y | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY |
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