COURTNEY BETH LEGENDRE (FNP) – Nurse Practitioner, NPI 1003956871
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for COURTNEY BETH LEGENDRE (FNP)
545 VALLEY VIEW DRIVE
MOLINE, IL 612656138
Phone: (309) 762-5560
Fax: (309) 762-7351
Type: Mailing
500 W RIVER DR
DAVENPORT, IA 528011014
Phone: (563) 336-3000
Fax: (563) 336-3125
Type: Mailing
2750 11TH ST
ROCK ISLAND, IL 612015216
Phone: (563) 336-3000
Fax: (563) 327-2102
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $576.
Total Amount is formed as General ($576) + Research ($0) + Ownership ($0) = $576.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($87).
Total Amount
$576
General + Research + Ownership
Payments
27
Total payment records
General Amount
$576
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-03-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (888 days ago).
Enrollment records
2
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20070424000118 | I | Nurse Practitioner | IL | 2023-12-31 |
| I20190318002154 | I | Nurse Practitioner | IA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 61265)
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