HERMANCE FORTUNE (NURSE PRACTITIONER) – Nurse Practitioner, NPI 1053896654
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
Provider Addresses for HERMANCE FORTUNE (NURSE PRACTITIONER)
11133 Dunn Rd
Saint Louis, MO 631366163
Phone: (314) 653-5000
Type: Location
1225 Graham Rd
Florissant, MO 630318012
Phone: (314) 953-6000
Type: Location
1027 PARK RUN DR
FRANKLIN, TN 370678673
Phone: (314) 540-8814
Type: Mailing
1814, Sherman Square Drive, Saint Charles, Saint Charles County, Missouri, 63303, United States
SAINT CHARLES, MO 633033834
Phone: (314) 540-8814
Type: Mailing
Christian Hospital Northeast, 11133, Dunn Road, Saint Louis County, Missouri, 63136, United States
SAINT LOUIS, MO 631366163
Phone: (314) 653-5000
Type: Location
1 LINCOLN CTR STE 1030
OAKBROOK TERRACE, IL 601814258
Phone: (314) 540-8814
Type: Location
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: 2022-09-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20181211002685 | I | Nurse Practitioner | MO | TBD |
| I20220901000836 | I | Nurse Practitioner | TN | 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 |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 36 | 15 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 24 | 14 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 63136)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN |
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