BECKY PRUSAKIEWICZ (RN, FNP) – Family Nurse Practitioner, NPI 1356022578
Family Nurse Practitioner
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BECKY PRUSAKIEWICZ (RN, FNP)
135 W Station St
Saint Anne, IL 609647251
Phone: (815) 427-1324
Type: Location
303 N 7th St
Kentland, IN 479511379
Phone: (219) 474-5464
Type: Location
34 E Jones St
Milford, IL 609531046
Phone: (815) 889-4241
Type: Location
720 S Crescent St Ste B
Gilman, IL 609381518
Phone: (815) 265-8889
Type: Location
6052 W 817 N
LAKE VILLAGE, IN 463499519
Phone: (567) 825-8714
Type: Mailing
200 E FAIRMAN AVE
WATSEKA, IL 609701644
Phone: (815) 432-7722
Fax: (815) 432-7874
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $216.
Total Amount is formed as General ($216) + Research ($0) + Ownership ($0) = $216.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($48).
Total Amount
$216
General + Research + Ownership
Payments
11
Total payment records
General Amount
$216
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
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: 2024-08-16
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
1
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 |
|---|---|---|---|---|
| I20240816002504 | I | Nurse Practitioner | IL | 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 60964)
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