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MARNELLA ELIZALDE NP-C
NPI 1184275448
Nurse Practitioner - Family in Bloomingdale, IL

Active since September 26, 2019PECOS EnrolledAccepts Medicare Assignment
109 FAIRFIELD WAY STE 207, BLOOMINGDALE, IL 60108(630) 915-2037 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 12, 2021, Oct 13, 2020, Sep 26, 2019 (3 updates tracked since 2019).

About Marnella Elizalde Np-c NPPES

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

MARNELLA ELIZALDE NP-C (NPI 1184275448) is an individual family provider in Bloomingdale, Illinois, licensed in Illinois (209019916) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1184275448
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARNELLA ELIZALDECredential: NP-C
Location Address109 FAIRFIELD WAY STE 207Bloomingdale, IL 60108-1500
Mailing Address109 Fairfield Way Ste 205Bloomingdale, IL 60108-1500 · (630) 915-2037
Phone(630) 915-2037
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 26, 2019
Last NPPES UpdateJanuary 12, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
✔ NPI 1184275448 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 · 209019916
109 FAIRFIELD WAY STE 207, Bloomingdale, IL 60108
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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

Marnella Elizalde Np-c 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 ID244502755
PECOS Enrollment IDI20241107001593
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.

Medicare Billing Reassignment

Medicare enrollment records show Marnella Elizalde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Elizalde Healthcare Sc
3.0 mi
Family Medicine
1508 BLOOMINGDALE RD
Glendale Heights, IL 60139
  • Reassigned Medicare billing, Illinois enrollment
NPI 1710712070 (630) 915-2037

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60108 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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 Marnella Elizalde's NPI number?

The NPI number for Marnella Elizalde is 1184275448. It was assigned to this individual provider in the NPPES registry on September 26, 2019.

Where is Marnella Elizalde located?

Marnella Elizalde practices at 109 Fairfield Way Ste 207, Bloomingdale, IL 60108. The listed phone number is (630) 915-2037.

What is Marnella Elizalde's specialty?

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

Is Marnella Elizalde enrolled in Medicare?

Yes. Marnella Elizalde 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 Marnella Elizalde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marnella Elizalde reassigns Medicare benefits to Elizalde Healthcare Sc (Glendale Heights, 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 Marnella Elizalde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marnella Elizalde was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.