KATIE GENEVIEVE DCRUZ (AGNP-C) – Gerontology Nurse Practitioner, NPI 1124412168
Gerontology Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for KATIE GENEVIEVE DCRUZ (AGNP-C)
7777 Bonhomme Ave Ste 1800
Clayton, MO 631051931
Phone: (855) 229-2177
Type: Location
630 E NORTH AVE
CAROL STREAM, IL 601882127
Phone: (630) 581-7288
Type: Mailing
840 W IRVING PARK RD
STE 301
CHICAGO, IL 606133011
Phone: (773) 975-3269
Fax: (773) 975-3270
Type: Location
PO BOX 3276
EVANSVILLE, IN 477313276
Phone: (812) 473-0181
Fax: (812) 473-5822
Type: Mailing
332 S MICHIGAN AVE
CHICAGO, IL 606044434
Phone: (855) 229-2191
Fax: (312) 579-0467
Type: Location
13900 RIVERPORT DR
MARYLAND HEIGHTS, MO 630434804
Phone: (855) 229-2177
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: 2024-12-11
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 |
|---|---|---|---|---|
| I20150724010096 | I | Nurse Practitioner | IL | TBD |
| I20241211004332 | I | Nurse Practitioner | MO | 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 |
|---|---|---|---|---|
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 42 | 17 | $0 |
| G0318 | Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif | 22 | 14 | $0 |
| 99345 | Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes | 16 | 16 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 15 | 12 | $0 |
Insurance plans in this area (ZIP 63105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine, Pulmonary Disease | IL | |
| Nurse Practitioner | OH |
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