RENAISSANCE ZILLIOUX (FNP-BC) – Family Nurse Practitioner, NPI 1285363879
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for RENAISSANCE ZILLIOUX (FNP-BC)
1105 SE Jetty Ave Ste C
Lincoln City, OR 973672604
Phone: (541) 265-4947
Type: Location
36 SW Nye St Ste C
Newport, OR 973653821
Phone: (541) 265-0445
Type: Location
525 N Bay St
Waldport, OR 973949010
Phone: (541) 265-4947
Type: Location
PO BOX 1727
GRAND JUNCTION, CO 815021727
Phone: (970) 263-2600
Fax: (970) 263-2692
Type: Mailing
603 28 1/4 RD
GRAND JUNCTION, CO 815066019
Phone: (970) 263-2600
Fax: (970) 263-2692
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: 2024-11-23
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 |
|---|---|---|---|---|
| I20220719000551 | I | Nurse Practitioner | CO | TBD |
| I20241123000007 | I | Nurse Practitioner | NM | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 114 | 82 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 98 | 73 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 63 | 49 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 34 | 32 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 25 | 25 | $0 |
Insurance plans in this area (ZIP 97367)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | OH | |
| P O D I A T R Y | CO |
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