MS. GWENDOLYN DENISE PINKNEY (FNP) – Family Nurse Practitioner, NPI 1730201765
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. GWENDOLYN DENISE PINKNEY (FNP)
12805 S PAULINA ST
CALUMET PARK, IL 608275932
Phone: (708) 597-0057
Fax: (708) 597-0057
Type: Mailing
1010 LAKE ST STE 300
OAK PARK, IL 603011133
Phone: (708) 210-4490
Fax: (708) 210-4619
Type: Location
1010 Lake St Ste 300
Oak Park, IL 603011133
Phone: (708) 210-4490
Fax: (708) 210-4619
Type: Location
31 W 155TH ST
HARVEY, IL 604263556
Phone: (708) 596-5177
Fax: (708) 596-5518
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $134.
Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.
Last reported payment date: 2024-04-11 • Largest payer in this snapshot: Lilly USA, LLC ($134).
Total Amount
$134
General + Research + Ownership
Payments
6
Total payment records
General Amount
$134
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $134 |
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: 2007-11-27
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 |
|---|---|---|---|---|
| I20071127000630 | 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 60827)
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