NANCY PAK FNP-BC
NPI 1073902755
Nurse Practitioner - Family in Maywood, IL
About Nancy Pak Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NANCY PAK FNP-BC (NPI 1073902755) is an individual family provider in Maywood, Illinois, licensed in Illinois (20901441) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Loyola University Medical Center, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Nancy Pak 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.
Medicare Billing Reassignment
Medicare enrollment records show Nancy Pak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Maywood, IL 60153
- Reassigned Medicare billing, Illinois enrollment
- 1,138 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60153 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
MAYWOOD, IL 60153
MAYWOOD, IL 60153
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 Nancy Pak's NPI number?
The NPI number for Nancy Pak is 1073902755. It was assigned to this individual provider in the NPPES registry on January 17, 2015.
Where is Nancy Pak located?
Nancy Pak practices at 2160 S 1st Ave Ems 110, Maywood, IL 60153. The listed phone number is (708) 216-9000.
What is Nancy Pak's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nancy Pak enrolled in Medicare?
Yes. Nancy Pak 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 organization bills Medicare for Nancy Pak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Pak reassigns Medicare benefits to Loyola University Medical Center (Maywood, IL). The 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 Nancy Pak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nancy Pak accept?
Health plans from Oscar Health list Nancy Pak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Nancy Pak affiliated with any hospitals?
According to CMS data, Nancy Pak is affiliated with Loyola University Medical Center.
When was this NPI record last updated?
The NPPES record for Nancy Pak was last updated on April 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Nancy Pak, FNP-BC · NPI 1073902755
Family physician in Maywood, Illinois. Individual provider, active in the CMS NPPES registry since January 17, 2015.
## Identity
- **NPI:** 1073902755 (Entity type: Individual)
- **Enumerated:** January 17, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 20901441 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2160 S 1ST AVE, EMS 110, Maywood, IL 60153-3328
- **Phone:** (708) 216-9000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Loyola University Medical Center (NPI 1336159961, Maywood, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** April 25, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1073902755) · Data from the CMS NPPES public registry.