MIRANDA G FOOTE – Pediatric Nurse Practitioner, NPI 1972044717
Pediatric Nurse Practitioner
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MIRANDA G FOOTE
225 E CHICAGO AVE
CHICAGO, IL 606112991
Phone: (800) 543-7362
Type: Mailing
3722 Touhy Ave
Skokie, IL 600763941
Phone: (800) 543-7362
Type: Location
1131 Techny Rd
Northbrook, IL 600625503
Phone: (800) 543-7362
Type: Location
1870 Silver Cross Blvd
New Lenox, IL 604518639
Phone: (800) 543-7362
Type: Location
800 W Central Rd
Arlington Heights, IL 600052349
Phone: (800) 543-7362
Type: Location
2301 Enterprise Dr
Westchester, IL 601545802
Phone: (800) 543-7362
Type: Location
900 N Westmoreland Rd
Lake Forest, IL 600451674
Phone: (800) 542-7362
Type: Location
Au Bon Pain, 5841, South Maryland Avenue, Hyde Park, Chicago, Hyde Park Township, Cook County, Illinois, 60637, United States
MC4060
CHICAGO, IL 606371447
Phone: (773) 834-0826
Fax: (773) 702-9881
Type: Mailing
150 HARVESTER DR
SUITE 300
BURR RIDGE, IL 605275919
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $164.
Total Amount is formed as General ($164) + Research ($0) + Ownership ($0) = $164.
Last reported payment date: 2023-03-28 • Largest payer in this snapshot: SOBI, INC ($130).
Total Amount
$164
General + Research + Ownership
Payments
2
Total payment records
General Amount
$164
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SOBI, INC | $130 |
| Vertex Pharmaceuticals Incorporated | $34 |
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: 2017-06-28
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 |
|---|---|---|---|---|
| I20170628000876 | 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 60611)
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