MAYRA KITZURY PEREZ MARTINEZ APRN, CNP
NPI 1205609351
Nurse Practitioner in Mchenry, IL

Active since October 31, 2023PECOS EnrolledAccepts Medicare Assignment
4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL 60050(815) 759-8070(815) 759-4931 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 24, 2024, Oct 31, 2023 (2 updates tracked since 2023).

About Mayra Kitzury Perez Martinez Aprn, Cnp NPPES

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

MAYRA KITZURY PEREZ MARTINEZ APRN, CNP (NPI 1205609351) is an individual nurse practitioner in Mchenry, Illinois, licensed in Illinois (209028365) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205609351
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMAYRA KITZURY PEREZ MARTINEZCredential: APRN, CNP
Location Address4309 W MEDICAL CENTER DR STE A200Mchenry, IL 60050-8437
Mailing Address4309 W Medical Center Dr Ste A200Mchenry, IL 60050-8437 · (815) 759-8070 · Fax (815) 759-4931
Fax(815) 759-4931
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 31, 2023
Last NPPES UpdateApril 24, 20242 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
NPI 1205609351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209028365
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.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 209.028365 (IL)
4309 W MEDICAL CENTER DR STE A200, Mchenry, IL 60050

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

Mayra Kitzury Perez Martinez Aprn, Cnp 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 ID8820440522
PECOS Enrollment IDI20240118001406
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.

Hospital Affiliations CMS Care Compare 2

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

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60050 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

General Acute Care Hospital
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Nurse Practitioner (Family)
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Internal Medicine (Interventional Cardiology)
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Internal Medicine (Cardiovascular Disease)
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Internal Medicine (Cardiovascular Disease)
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Internal Medicine (Interventional Cardiology)
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Clinical Nurse Specialist (Adult Health)
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Internal Medicine (Clinical Cardiac Electrophysiology)
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205609351, enumerated as an "individual" on October 31, 2023.

The provider is located at 4309 W MEDICAL CENTER DR STE A200 MCHENRY, IL 60050 and the phone number is (815) 759-8070.

Nurse Practitioner with taxonomy code 363L00000X.

Mayra Perez Martinez is affiliated with: NORTHWESTERN MEDICINE MCHENRY and NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL.