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MARY SUSAN SANDRIK MSN, RN, CWOCN
NPI 1154616928
Clinical Nurse Specialist in Chicago, IL

Active since June 09, 2011PECOS EnrolledAccepts Medicare Assignment
80.83/100
CMS Quality Rating
1500 SOUTH CALIFORNIA AVENUE, CHICAGO, IL 60608(773) 542-2000(773) 257-5205 Get Directions Write a Review

NPPES record last updated: June 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Susan Sandrik Msn, Rn, Cwocn NPPES

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

MARY SUSAN SANDRIK MSN, RN, CWOCN (NPI 1154616928) is an individual clinical nurse specialist in Chicago, Illinois, licensed in Illinois (309.000463) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1154616928
Entity TypeIndividualFemale
Primary Taxonomy364S00000X
Provider Legal NameMARY SUSAN SANDRIKCredential: MSN, RN, CWOCN
Location Address1500 SOUTH CALIFORNIA AVENUEChicago, IL 60608
Mailing Address2248 Grove AveBerwyn, IL 60402-2201 · (708) 788-7340
Phone(773) 542-2000
Fax(773) 257-5205
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJune 9, 2011
✔ NPI 1154616928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
License✔ Licensed in IL · 309.000463
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
1500 SOUTH CALIFORNIA AVENUE, Chicago, IL 60608
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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

Mary Susan Sandrik Msn, Rn, Cwocn 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 ID4486826385
PECOS Enrollment IDI20111019000711
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
121 services96 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
39 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140018
Location1500 S Fairfield AveChicago, IL 60608 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.96
Promoting Interoperability72
Improvement Activities40
Cost63.15

Other Providers at the Same Location NPPES 3

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

DR. CRYSTAL BALFOUR PSY.D.
Psychologist (Clinical Child & Adolescent)
1500 SOUTH CALIFORNIA AVENUE, NR 553
CHICAGO, IL 60608
Cook County (773) 257-4750
DR. EMEM INYANG ADOLF-UBOKUDOM M.D.
Internal Medicine (Rheumatology)
1500 SOUTH CALIFORNIA AVENUE
CHICAGO, IL 60608
Cook County (773) 542-2000
DR. MIR ASHAD ALI YADULLAHI M.D
Psychiatry & Neurology (Clinical Neurophysiology)
1500 SOUTH CALIFORNIA AVENUE, OS-551
CHICAGO, IL 60608
Cook County (773) 257-6552

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 Mary Sandrik's NPI number?

The NPI number for Mary Sandrik is 1154616928. It was assigned to this individual provider in the NPPES registry on June 9, 2011.

Where is Mary Sandrik located?

Mary Sandrik practices at 1500 South California Avenue, Chicago, IL 60608. The listed phone number is (773) 542-2000.

What is Mary Sandrik's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Is Mary Sandrik enrolled in Medicare?

Yes. Mary Sandrik 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.

Is Mary Sandrik affiliated with any hospitals?

According to CMS data, Mary Sandrik is affiliated with Mt Sinai Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Sandrik was last updated on June 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.