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MIRNA MISSEHA
NPI 1053153312
Nurse Practitioner - Family in Northbrook, IL

Active since June 08, 2024PECOS EnrolledAccepts Medicare Assignment
2215 SANDERS RD STE 110N, NORTHBROOK, IL 60062(708) 914-5145 Get Directions Write a Review

NPPES record last updated: June 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mirna Misseha NPPES

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

MIRNA MISSEHA (NPI 1053153312) is an individual family provider in Northbrook, Illinois, licensed in Illinois (209.029669) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053153312
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIRNA MISSEHA
Location Address2215 SANDERS RD STE 110NNorthbrook, IL 60062-6126
Mailing Address2215 Sanders Rd Ste 110nNorthbrook, IL 60062-6126 · (708) 914-5145
Phone(708) 914-5145
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 8, 2024
NPPES CertifiedJune 8, 2024
✔ NPI 1053153312 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 · 209.029669
2215 SANDERS RD STE 110N, Northbrook, IL 60062
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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

Mirna Misseha 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 ID6800398157
PECOS Enrollment IDI20250905001952
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 60062 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.

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 Mirna Misseha's NPI number?

The NPI number for Mirna Misseha is 1053153312. It was assigned to this individual provider in the NPPES registry on June 8, 2024.

Where is Mirna Misseha located?

Mirna Misseha practices at 2215 Sanders Rd Ste 110N, Northbrook, IL 60062. The listed phone number is (708) 914-5145.

What is Mirna Misseha's specialty?

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

Is Mirna Misseha enrolled in Medicare?

Yes. Mirna Misseha 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 Mirna Misseha was last updated on June 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.