1. Home
  2. Directory
  3. Illinois
  4. Schaumburg
  5. Nurse Practitioner
  6. NPI Profile

MARY WIRTH
NPI 1164395562
Nurse Practitioner - Gerontology in Schaumburg, IL

Active since September 24, 2025PECOS EnrolledAccepts Medicare Assignment
804 E WOODFIELD RD STE 300, SCHAUMBURG, IL 60173(847) 605-9500(847) 605-8700 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mary Wirth NPPES

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

MARY WIRTH (NPI 1164395562) is an individual gerontology provider in Schaumburg, Illinois, licensed in Illinois (209033159) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164395562
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARY WIRTH
Location Address804 E WOODFIELD RD STE 300Schaumburg, IL 60173-4776
Mailing Address3595 Waterscape TerElgin, IL 60124-5715 · (224) 465-2631
Phone(847) 605-9500
Fax(847) 605-8700
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1164395562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in IL · 209033159
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 209033159 (IL)
804 E WOODFIELD RD STE 300, Schaumburg, IL 60173
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1812 E Woodfield RdSchaumburg, IL 60173-4838 · Phone (847) 605-9500 ext. 59500
Location 2802 E Woodfield Rd Ste 200Schaumburg, IL 60173-4713 · Phone (847) 605-9500 ext. 59500

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 Wirth 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 ID8628565710
PECOS Enrollment IDI20251013004068
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 60173 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 18

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

RAFFAY KHAN MD
Internal Medicine (Clinical Cardiac Electrophysiology)
804 E WOODFIELD RD STE 300
SCHAUMBURG, IL 60173
Cook County (847) 605-9500
DAVID SALIBA RAYAN DO
Internal Medicine
804 E WOODFIELD RD STE 300
SCHAUMBURG, IL 60173
Cook County (847) 605-9500
SWITI PATEL FNP
Nurse Practitioner (Family)
804 E WOODFIELD RD STE 300
SCHAUMBURG, IL 60173
Cook County (847) 605-0030
BINAKI PATEL APN
Nurse Practitioner
804 E WOODFIELD RD STE 300
SCHAUMBURG, IL 60173
Cook County (847) 605-0030
GRACE JEONG
Nurse Practitioner (Family)
804 E WOODFIELD RD STE 300
SCHAUMBURG, IL 60173
Cook County (847) 605-9500
ZARA SURANI NP
Family Medicine
804 E WOODFIELD RD STE 300
SCHAUMBURG, IL 60173
Cook County (847) 605-9500
MRS. GUADALUPE CAVADA APRN
Nurse Practitioner (Family)
804 E WOODFIELD RD STE 300
SCHAUMBURG, IL 60173
Cook County (847) 605-9500
YUNIELL BETANCOURT APN-CNP
Nurse Practitioner
804 E WOODFIELD RD STE 300
SCHAUMBURG, IL 60173
Cook County (847) 605-9500

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 Wirth's NPI number?

The NPI number for Mary Wirth is 1164395562. It was assigned to this individual provider in the NPPES registry on September 24, 2025.

Where is Mary Wirth located?

Mary Wirth practices at 804 E Woodfield Rd Ste 300, Schaumburg, IL 60173. The listed phone number is (847) 605-9500.

What is Mary Wirth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Mary Wirth enrolled in Medicare?

Yes. Mary Wirth 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 Mary Wirth was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.