ROBERTA L HERRICK (APRN) – Nurse Practitioner, NPI 1386958676
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
6,033 NURSE PRACTITIONER in WI
Provider Addresses for ROBERTA L HERRICK (APRN)
PO BOX 1510
EAU CLAIRE, WI 547021510
Phone: (715) 838-5222
Type: Mailing
13025 8TH ST
OSSEO, WI 547587634
Phone: (715) 597-3121
Type: Location
200 E Chestnut St
Louisville, KY 402021831
Phone: (502) 629-8000
Fax: (502) 629-6129
Type: Location
1201 Pleasant Valley Rd
Owensboro, KY 423039811
Phone: (270) 417-5911
Fax: (270) 417-6497
Type: Location
13025 8th St
Osseo, WI 547587634
Phone: (715) 597-3121
Type: Location
440 Hopkinsville St
Greenville, KY 423451124
Phone: (270) 338-8000
Fax: (270) 338-8333
Type: Location
1700 W STOUT ST
RICE LAKE, WI 548685000
Phone: (715) 236-8100
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: 2024-06-21
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 |
|---|---|---|---|---|
| I20101008001275 | I | Nurse Practitioner | WI | TBD |
| I20240621002684 | I | Nurse Practitioner | KY | 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 54702)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| - | CA | |
| O T O L A R Y N G O L O G Y | KY | |
| - | KY | |
| O T O L A R Y N G O L O G Y | MO | |
| - | KY | |
| Family Practice | IA | |
| - | KY | |
| Emergency Medicine | KY | |
| - | KY |
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