MS. PHYLLIS L PHELPS (ARNP) – Family Nurse Practitioner, NPI 1770681595

MS. PHYLLIS L PHELPS (ARNP) is a healthcare provider. based in Glencoe, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. CNP 4348 (MN). The NPI Number for MS. PHYLLIS L PHELPS (ARNP) is 1770681595

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MS. PHYLLIS L PHELPS (ARNP)
NPI
1770681595
Phone
(320) 864-3121
Address
1805 HENNEPIN AVE N
Enumeration Date
20 September 2006
Last Update Date
2 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8509345713
Graduation Year
2003 (23 years ago)
PAC ID
6305735069
Group Practice PAC ID
8325263270
Professional Enrollment ID
I20060227000411
Address ID
FL325633091GU2744XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for MS. PHYLLIS L PHELPS (ARNP)

  • Glencoe Regional Health Services, 1805, Hennepin Avenue North, Perez Mobile Home Park, Glencoe, McLeod County, Minnesota, 55336, United States

    GLENCOE, MN 553361416

    Phone: (320) 864-3121

    Type: Location

  • 1029, Shawmut Street South, Shakopee, Scott County, Minnesota, 55379, United States

    SHAKOPEE, MN 553792826

    Phone: (952) 445-4070

    Fax: (952) 445-1501

    Type: Mailing

  • 2315 W JACKSON ST

    PENSACOLA, FL 325057552

    Phone: (850) 436-4630

    Fax: (850) 436-2095

    Type: Mailing

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: 2006-02-27

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
I20060227000411INurse PractitionerFLTBD

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
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes728180$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes9256$0
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes3535$0
G0245Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that cons2323$0
G0247Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following i2121$0
View full utilization report →

Insurance plans in this area (ZIP 55336)

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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: 8325263270View full group profile
NameSpecialtyState
-FL
-FL
Nurse PractitionerMO
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerLA
Nurse PractitionerTN
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is there an official ID for MS. PHYLLIS L PHELPS (ARNP) in U.S. healthcare records?
The official identifier for MS. PHYLLIS L PHELPS (ARNP) is NPI 1770681595.
Would MS. PHYLLIS L PHELPS (ARNP) appear as active to a payer?
You can treat MS. PHYLLIS L PHELPS (ARNP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MS. PHYLLIS L PHELPS (ARNP)?
At a glance, MS. PHYLLIS L PHELPS (ARNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MS. PHYLLIS L PHELPS (ARNP) associated with Glencoe?
Public fields place MS. PHYLLIS L PHELPS (ARNP) around Glencoe, Minnesota. Always confirm the exact site before visiting.
Does MS. PHYLLIS L PHELPS (ARNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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