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NPI 1962936070ActiveIndividual· Nurse Practitioner· Winfield, IL

Nurse Practitioner in Winfield, Illinois, licensed in IL, with an NPI issued in April 2017. Part D covered 42 prescriptions written in 2024, 100% of them generic.

Overview

NPI1962936070
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedApr 14, 2017
Last updated in NPPESJan 3, 2020
Certified by providerJan 3, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X209015802IL
Nurse Practitioner, Family363LF0000X209015802IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)42 · 60 30-day fills
Total drug cost$972.25
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Nurse Practitioner providers in Winfield

All Nurse Practitioner providers in Illinois →