MR. SISAY BEKELE MERSHA NP
NPI 1184901449
Nurse Practitioner - Acute Care in Evanston, IL

Active since November 14, 2011PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
355 RIDGE AVENUE, EVANSTON, IL 60202(847) 316-4150 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Sisay Bekele Mersha Np NPPES

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

MR. SISAY BEKELE MERSHA NP (NPI 1184901449) is an individual acute care provider in Evanston, Illinois, licensed in Illinois (277000107) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1184901449
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. SISAY BEKELE MERSHACredential: NP
Location Address355 RIDGE AVENUEEvanston, IL 60202
Mailing Address6118 N Sheridan Rd Apt 104Chicago, IL 60660-8800 · (773) 338-2818
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 14, 2011
Last NPPES UpdateMarch 6, 2025
NPPES CertifiedMarch 6, 2025
NPI 1184901449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in IL · 277000107
355 RIDGE AVENUE, Evanston, IL 60202

Secondary Practice Location 1

Location 11740 W Taylor StChicago, IL 60612-7232 · Phone (866) 600-2273

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

Mr. Sisay Bekele Mersha Np 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 ID1052570967
PECOS Enrollment IDI20120313000635
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number140150
Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60202 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.

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.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

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.

Student in an Organized Health Care Education/Training Program
355 RIDGE AVENUE
EVANSTON, IL 60202
Internal Medicine
355 RIDGE AVENUE, MEDICAL EDUCATION
EVANSTON, IL 60202
Physical Therapist
355 RIDGE AVENUE
EVANSTON, IL 60202

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 Sisay Mersha's NPI number?

The NPI number for Sisay Mersha is 1184901449. It was assigned to this individual provider in the NPPES registry on November 14, 2011.

Where is Sisay Mersha located?

Sisay Mersha practices at 355 Ridge Avenue, Evanston, IL 60202. The listed phone number is (847) 316-4150.

What is Sisay Mersha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Sisay Mersha enrolled in Medicare?

Yes. Sisay Mersha 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 Sisay Mersha affiliated with any hospitals?

According to CMS data, Sisay Mersha is affiliated with University Of Illinois Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Sisay Mersha was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.