DR. CHAKA K BATLEY (DNP, FPA-APRN, PMHNP) – Pediatric Nurse Practitioner, NPI 1790069540
Pediatric Nurse Practitioner
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. CHAKA K BATLEY (DNP, FPA-APRN, PMHNP)
205 S 24th St
Quincy, IL 623014446
Phone: (217) 779-8335
Type: Location
141 COMMUNICATION DR
HANNIBAL, MO 634013670
Phone: (573) 603-1460
Fax: (573) 603-1462
Type: Mailing
1454 N County Road 2050 E
Carthage, IL 623213551
Phone: (217) 357-8500
Type: Location
6424 STONE RIDGE DR
QUINCY, IL 623058824
Phone: (217) 779-8335
Fax: (844) 412-9773
Type: Location
1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 623213551
Phone: (217) 357-6888
Fax: (217) 357-6889
Type: Mailing
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: 2011-12-06
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 |
|---|---|---|---|---|
| I20111206000624 | 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 62301)
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