RHODORA KHAN (APNP) – Family Nurse Practitioner, NPI 1275045973

Family Nurse Practitioner

RHODORA KHAN (APNP) is a healthcare provider. based in Mount pleasant, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials APNP. They hold a License No. 209.016440 (IL). The NPI Number for RHODORA KHAN (APNP) is 1275045973

Main info

Female

10 Years Of Experience

Accepts Medicare Assignment

Name

RHODORA KHAN (APNP)

NPI

1275045973

Phone

(262) 687-5850

Address

3811 SPRING ST # 201

Enumeration Date

2 November 2017

Last Update Date

30 April 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2626875850

Graduation Year

2016 (10 years ago)

PAC ID

5193073518

Group Practice PAC ID

8628980943

Professional Enrollment ID

I20190508000436

Address ID

WI534051667MO3811XSTXX302

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience39

Completeness75

Years active:8State licenses:2Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

Provider Addresses for RHODORA KHAN (APNP)

201, Spring Street, Pleasant Hill, Pike County, Illinois, 62366, United States
MOUNT PLEASANT, WI 534051667
Phone: (262) 687-5850
Type: Mailing
1025 Red Oak Ln
Lindenhurst, IL 600465017
Phone: (847) 245-4601
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: 2019-05-08

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

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
I20190508000436	I	Nurse Practitioner	WI	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.

Verify on CMS Revalidation Lookup Tool

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 53405)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 8628980943View full group profile

Name	Specialty	State
ASHA PUMPHREY (PT)	-	WI
SOPHIA ELIZABETH PRATER (ATR, LPC, CSAC)	Mental Health Counselor	WI
AMBER HILDEBRANDT (M.D.)	-	WI
JOSEPH P. MATHEW (M.D.)	Internal Medicine	WI
DR. EFE MARCUS AKPOIGBE (MD)	Hospitalist, Internal Medicine	WI
DR. ARMAN CICIC (D.O.)	U R O L O G Y	GA
TASHA R JOHNSON (MD)	O B S T E T R I C S/ G Y N E C O L O G Y	WI
CHARLES LEWIS LEVY (MD)	-	OH
MARGARET H CARR (MD)	-	WI
JANET E. KIESLICH (N.P.)	-	WI