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THERESA SIMANDL APRN, CNP
NPI 1033717319
Nurse Practitioner in Huntley, IL

Active since October 09, 2020PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
10350 HALIGUS RD STE A, HUNTLEY, IL 60142(847) 802-7500(847) 802-7162 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2024, Jan 17, 2022, Oct 9, 2020 (3 updates tracked since 2020).

About Theresa Simandl Aprn, Cnp NPPES

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

THERESA SIMANDL APRN, CNP (NPI 1033717319) is an individual nurse practitioner in Huntley, Illinois, licensed in Illinois (209020375) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1033717319
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTHERESA SIMANDLCredential: APRN, CNP
Location Address10350 HALIGUS RD STE AHuntley, IL 60142-9545
Mailing Address10350 Haligus Rd Ste AHuntley, IL 60142-9545 · (847) 802-7500 · Fax (847) 802-7162
Phone(847) 802-7500
Fax(847) 802-7162
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 9, 2020
Last NPPES UpdateDecember 4, 20243 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
✔ NPI 1033717319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209020375
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209020375 (IL)
10350 HALIGUS RD STE A, Huntley, IL 60142
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa Simandl Aprn, Cnp 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 ID3577974419
PECOS Enrollment IDI20201124002433
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Theresa Simandl reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwestern Medical Faculty Foundation
12 mi
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
NPI 1346235314 (855) 694-2866
Central Dupage Physician Group
28 mi
Family Medicine
5777 DEPARTMENT
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 1,664 clinicians in this Medicare group
NPI 1033149844 (630) 933-3300
Midwest Express Care 2, Inc
38 mi
Urgent Care
40 75TH ST
Willowbrook, IL 60527
  • Reassigned Medicare billing, Illinois enrollment
  • 410 clinicians in this Medicare group
NPI 1548692890 (630) 400-4060

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
217 services214 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
96 services96 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
56 services55 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
49 services49 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
44 services44 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
40 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60142 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

PINKI PATEL APRN, CNP
Nurse Practitioner
10350 HALIGUS RD STE A
HUNTLEY, IL 60142
McHenry County (815) 338-6600
DR. LAURA HALEY TOMMASO M.D.
Family Medicine
10350 HALIGUS RD STE A
HUNTLEY, IL 60142
McHenry County (847) 802-7500
AGATA A SCHOLZ DNP, FNP-BC
Nurse Practitioner
10350 HALIGUS RD STE A
HUNTLEY, IL 60142
McHenry County (815) 455-6100
MATILDA LUTAJ FNP-C
Nurse Practitioner
10350 HALIGUS RD STE A
HUNTLEY, IL 60142
McHenry County (815) 338-6600
ARIJANA PRANJIC APRN, FNP-BC
Nurse Practitioner
10350 HALIGUS RD STE A
HUNTLEY, IL 60142
McHenry County (815) 455-6100
FATIMA NURUL HASAN PA-C
Physician Assistant
10350 HALIGUS RD STE A
HUNTLEY, IL 60142
McHenry County (815) 338-6600
KATHERINE M WINNER APRN, CNP
Nurse Practitioner
10350 HALIGUS RD STE A
HUNTLEY, IL 60142
McHenry County (815) 338-6600
ERIC JOSEPH PA-C
Physician Assistant
10350 HALIGUS RD STE A
HUNTLEY, IL 60142
McHenry County (815) 338-6600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Simandl's NPI number?

The NPI number for Theresa Simandl is 1033717319. It was assigned to this individual provider in the NPPES registry on October 9, 2020.

Where is Theresa Simandl located?

Theresa Simandl practices at 10350 Haligus Rd Ste A, Huntley, IL 60142. The listed phone number is (847) 802-7500.

What is Theresa Simandl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Theresa Simandl enrolled in Medicare?

Yes. Theresa Simandl is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Theresa Simandl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Simandl reassigns Medicare benefits to 3 organizations: Northwestern Medical Faculty Foundation (Carol Stream, IL), Central Dupage Physician Group (Carol Stream, IL) and Midwest Express Care 2, Inc (Willowbrook, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Simandl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Theresa Simandl affiliated with any hospitals?

According to CMS data, Theresa Simandl is affiliated with Northwestern Medicine Mchenry and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Simandl was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.