FREDLYN THORNHILL (AGNP-C, RN) – Gerontology Nurse Practitioner, NPI 1235671900
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
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Provider Addresses for FREDLYN THORNHILL (AGNP-C, RN)
12365, Lakepoint Drive, Maryland Heights, Saint Louis County, Missouri, 63043, United States
A
MARYLAND HEIGHTS, MO 630432005
Phone: (631) 639-0956
Type: Mailing
9001 DIGGES RD STE 101
MANASSAS, VA 201104414
Phone: (571) 363-3082
Type: Mailing
9001 DIGGES RD
MANASSAS, VA 201104421
Phone: (571) 363-3082
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $477.
Total Amount is formed as General ($477) + Research ($0) + Ownership ($0) = $477.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Lilly USA, LLC ($89).
Total Amount
$477
General + Research + Ownership
Payments
22
Total payment records
General Amount
$477
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $89 |
| Novo Nordisk Inc | $64 |
| Xeris Pharmaceuticals, Inc. | $60 |
| Insulet Corporation | $58 |
| IBSA Pharma Inc. | $39 |
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: 2024-10-28
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 |
|---|---|---|---|---|
| I20241028000810 | I | Nurse Practitioner | VA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63043)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Endocrinology, Internal Medicine, Internal Medicine | VA |
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