WANISSA FORD FNP-BC
NPI 1033531736
Nurse Practitioner - Family in Chicago, IL

Q: What is Wanissa Ford's NPI number?

The NPI number for Wanissa Ford is 1033531736. It was assigned to this individual provider in the NPPES registry on January 14, 2014.

Q: What is Wanissa Ford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Wanissa Ford was last updated on February 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 14, 2014PECOS EnrolledAccepts Medicare Assignment

3752 W 16TH ST, CHICAGO, IL 60623(773) 762-2435(773) 762-2017 Get Directions Write a Review

NPPES record last updated: February 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Wanissa Ford Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WANISSA FORD FNP-BC (NPI 1033531736) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.011082) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS, is affiliated with Loyola University Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1033531736

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameWANISSA FORDCredential: FNP-BC

Location Address3752 W 16TH STChicago, IL 60623-2028

Mailing Address3752 W 16th StChicago, IL 60623-2028 · (773) 762-2435 · Fax (773) 762-2017

Phone(773) 762-2435

Fax(773) 762-2017

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJanuary 14, 2014

Last NPPES UpdateFebruary 21, 2014

✔ NPI 1033531736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209.011082

3752 W 16TH ST, Chicago, IL 60623

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wanissa Ford Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577795517

PECOS Enrollment IDI20140407000669

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140276

Location2160 S 1st AvenueMaywood, IL 60153 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60623 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers21 claims58 services$6.79 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers11 claims17 services$1.18 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers15 claims15 services$163.25 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WAYNE BELLEN DDS

Dentist