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TERRI LYNN MAYBERRY FNP-BC
NPI 1093503773
Nurse Practitioner - Family in South Holland, IL

Active since April 30, 2025PECOS EnrolledAccepts Medicare Assignment
2145 E 170TH ST, SOUTH HOLLAND, IL 60473(708) 895-3255 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Terri Lynn Mayberry Fnp-bc NPPES

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

TERRI LYNN MAYBERRY FNP-BC (NPI 1093503773) is an individual family provider in South Holland, Illinois, licensed in Illinois (209032045) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1093503773
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTERRI LYNN MAYBERRYCredential: FNP-BC
Location Address2145 E 170TH STSouth Holland, IL 60473-3788
Mailing Address2201 Main StEvanston, IL 60202-1519 · (773) 831-5021 · Fax (224) 236-4900
Phone(708) 895-3255
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 30, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1093503773 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 · 209032045
2145 E 170TH ST, South Holland, IL 60473
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Terri Lynn Mayberry 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 ID7719406974
PECOS Enrollment IDI20250521002512
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 60473 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 5

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

MARIE GRACE HEALY
Physical Therapist (Geriatrics)
2145 E 170TH ST
SOUTH HOLLAND, IL 60473
Cook County (708) 895-3255
THRYVE OF SOUTH HOLLAND LLC
Skilled Nursing Facility
2145 E 170TH ST
SOUTH HOLLAND, IL 60473
Cook County (708) 895-3255
MANOR CARE OF SOUTH HOLLAND IL LLC
Skilled Nursing Facility
2145 E 170TH ST
SOUTH HOLLAND, IL 60473
Cook County (708) 895-3255
SOUTH HOLLAND MANOR HRC LLC
Skilled Nursing Facility
2145 E 170TH ST
SOUTH HOLLAND, IL 60473
Cook County (708) 895-3255
MAXWELL ANOKWUTE
Registered Nurse
2145 E 170TH ST
SOUTH HOLLAND, IL 60473
Cook County (708) 895-3255

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 Terri Mayberry's NPI number?

The NPI number for Terri Mayberry is 1093503773. It was assigned to this individual provider in the NPPES registry on April 30, 2025.

Where is Terri Mayberry located?

Terri Mayberry practices at 2145 E 170th St, South Holland, IL 60473. The listed phone number is (708) 895-3255.

What is Terri Mayberry's specialty?

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

Is Terri Mayberry enrolled in Medicare?

Yes. Terri Mayberry 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.

What insurance does Terri Mayberry accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Terri Mayberry 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.

When was this NPI record last updated?

The NPPES record for Terri Mayberry was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.