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MIRIAM MANRIQUE
NPI 1104686203
Nurse Practitioner in La Grange Park, IL

Active since March 19, 2024PECOS Enrolled
321 N LA GRANGE RD, LA GRANGE PARK, IL 60526(708) 745-5277 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miriam Manrique NPPES

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

MIRIAM MANRIQUE (NPI 1104686203) is an individual nurse practitioner in La Grange Park, Illinois, licensed in Illinois (209.029153) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104686203
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMIRIAM MANRIQUE
Location Address321 N LA GRANGE RDLa Grange Park, IL 60526-5622
Mailing Address5220 East AveCountryside, IL 60525-3133 · (708) 745-5277
Phone(708) 745-5277
Sole ProprietorYes
Enumeration DateMarch 19, 2024
Last NPPES UpdateAugust 6, 2024
NPPES CertifiedAugust 6, 2024
✔ NPI 1104686203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209.029153
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.
321 N LA GRANGE RD, La Grange Park, IL 60526
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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 (PECOS)

Miriam Manrique is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 60526 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 20

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

MRS. DIANA LYNNE MONAGHAN PA-C
Physician Assistant (Medical)
321 N LA GRANGE RD
LA GRANGE PARK, IL 60526
Cook County (708) 485-1020
SOPHIA CATHERINE CARUSO
Social Worker
321 N LA GRANGE RD
LA GRANGE PARK, IL 60526
Cook County (708) 745-5277
CHRISTOPHER JOE ANDREWS
Counselor (Professional)
321 N LA GRANGE RD
LA GRANGE PARK, IL 60526
Cook County (708) 745-5277
ARTHUR B FLORES JR.
Nurse Practitioner (Psychiatric/Mental Health)
321 N LA GRANGE RD
LA GRANGE PARK, IL 60526
Cook County (708) 745-5277
PILLARS COMMUNITY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
321 N LA GRANGE RD
LA GRANGE PARK, IL 60526
Cook County (708) 745-5277
PILLARS COMMUNITY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
321 N LA GRANGE RD
LA GRANGE PARK, IL 60526
Cook County (708) 745-5277
DR. BERENICE LOPEZ DDS
Dentist (General Practice)
321 N LA GRANGE RD
LA GRANGE PARK, IL 60526
Cook County (708) 745-5277
DR. FATIMA QUADRI DDS
Dentist (General Practice)
321 N LA GRANGE RD
LA GRANGE PARK, IL 60526
Cook County (708) 745-5277

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 Miriam Manrique's NPI number?

The NPI number for Miriam Manrique is 1104686203. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Where is Miriam Manrique located?

Miriam Manrique practices at 321 N La Grange Rd, La Grange Park, IL 60526. The listed phone number is (708) 745-5277.

What is Miriam Manrique's specialty?

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

Is Miriam Manrique enrolled in Medicare?

Yes. Miriam Manrique is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Miriam Manrique was last updated on August 6, 2024. 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.