MARY LUDVIGSEN (N.P.) – Nurse Practitioner, NPI 1194740514
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,033 NURSE PRACTITIONER in WI
Provider Addresses for MARY LUDVIGSEN (N.P.)
19165 W Bluemound Rd
Brookfield, WI 530456076
Phone: (262) 649-2780
Type: Location
1175 M 89
Plainwell, MI 490801135
Phone: (269) 204-3025
Type: Location
2880 Stelzer Rd
Columbus, OH 432193133
Phone: (833) 620-1234
Type: Location
7375 Oswego Rd Ste 1
Liverpool, NY 130903717
Phone: (315) 291-0064
Type: Location
1010 S Reed Rd
Kokomo, IN 469016248
Phone: (765) 252-2176
Type: Location
75 REMITT DRIVE
LOCKBOX 1374
CHICAGO, IL 606751374
Phone: (866) 916-5259
Fax: (231) 922-4030
Type: Mailing
6831 NORTH AVE
OAK PARK, IL 603021023
Phone: (708) 298-0540
Type: Location
HSHS Saint John's Hospital, 800, East Carpenter Street, Springfield, Sangamon County, Illinois, 62769, United States
SPRINGFIELD, IL 627690002
Phone: (217) 544-6464
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: 2024-11-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
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 |
|---|---|---|---|---|
| I20050127000266 | I | Nurse Practitioner | IL | TBD |
| I20210323001260 | I | Nurse Practitioner | AL | TBD |
| I20221206000213 | I | Nurse Practitioner | MI | TBD |
| I20230217000187 | I | Nurse Practitioner | OH | TBD |
| I20230314001753 | I | Nurse Practitioner | NY | TBD |
| I20230502000163 | I | Nurse Practitioner | IN | TBD |
| I20241127002992 | I | Nurse Practitioner | PA | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 53 | 53 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 44 | 44 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 43 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 33 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 24 | 12 | $0 |
Insurance plans in this area (ZIP 53045)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | IL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 24 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Physician Assistant | NC | |
| Physician Assistant | MI | |
| - | IN | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine | IL | |
| Nurse Practitioner | IN |
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