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MARNYESE L GOOSBY APRN
NPI 1043992878
Nurse Practitioner - Psychiatric/Mental Health in Oak Lawn, IL

Active since August 02, 2023PECOS EnrolledAccepts Medicare Assignment
4400 W 95TH ST STE 404, OAK LAWN, IL 60453(708) 684-3980 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marnyese L Goosby Aprn NPPES

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

MARNYESE L GOOSBY APRN (NPI 1043992878) is an individual psychiatric/mental health provider in Oak Lawn, Illinois, licensed in Illinois (209.027913) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Evergreen Park, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1043992878
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARNYESE L GOOSBYCredential: APRN
Location Address4400 W 95TH ST STE 404Oak Lawn, IL 60453-7216
Mailing Address29373 Network PlChicago, IL 60673-1293
Phone(708) 684-3980
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 2, 2023
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
✔ NPI 1043992878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209.027913
4400 W 95TH ST STE 404, Oak Lawn, IL 60453
Open in Google Maps ↗

Secondary Practice Location 1

Location 19730 S Western Ave Ste 810Evergreen Park, IL 60805-2814 · Phone (708) 346-7300

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

Marnyese L Goosby Aprn 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 ID9436508181
PECOS Enrollment IDI20231207000855
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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.

Other Providers at the Same Location NPPES 7

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

AMY SIMONE APN
Nurse Practitioner (Psychiatric/Mental Health)
4400 W 95TH ST STE 404
OAK LAWN, IL 60453
Cook County (800) 323-8622
AMANDA MAUREEN ZEISEL
Psychiatry & Neurology (Psychiatry)
4400 W 95TH ST STE 404
OAK LAWN, IL 60453
Cook County (708) 684-3980
MRS. ROSEMARIE BRYCE L.C.P.C.
Counselor (Professional)
4400 W 95TH ST STE 404
OAK LAWN, IL 60453
Cook County (708) 684-3980
BRIANNA L. YATES LCSW
Social Worker (Clinical)
4400 W 95TH ST STE 404
OAK LAWN, IL 60453
Cook County (708) 684-3980
NICHOLE NATALIE PEZESHKI LCSW
Social Worker (Clinical)
4400 W 95TH ST STE 404
OAK LAWN, IL 60453
Cook County (708) 684-3980
DEONNA VAUGHN
Psychiatry & Neurology (Psychiatry)
4400 W 95TH ST STE 404
OAK LAWN, IL 60453
Cook County (708) 684-3980
ST STEVEN MEDICAL CENTER LTD
Internal Medicine
4400 W 95TH ST STE 404
OAK LAWN, IL 60453
Cook County (708) 425-6225

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 Marnyese Goosby's NPI number?

The NPI number for Marnyese Goosby is 1043992878. It was assigned to this individual provider in the NPPES registry on August 2, 2023.

Where is Marnyese Goosby located?

Marnyese Goosby practices at 4400 W 95th St Ste 404, Oak Lawn, IL 60453. The listed phone number is (708) 684-3980.

What is Marnyese Goosby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Marnyese Goosby enrolled in Medicare?

Yes. Marnyese Goosby 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.

When was this NPI record last updated?

The NPPES record for Marnyese Goosby was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.