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MARY SPEDALE
NPI 1265373310
Nurse Practitioner in Chicago, IL

Active since April 02, 2026PECOS Enrolled
900 W NELSON ST, CHICAGO, IL 60657(773) 296-7089(773) 296-7731 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 29, 2026, Apr 2, 2026 (2 updates tracked since 2026).

About Mary Spedale NPPES

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

MARY SPEDALE (NPI 1265373310) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209035144) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265373310
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY SPEDALE
Location Address900 W NELSON STChicago, IL 60657-6704
Mailing Address900 W Nelson StChicago, IL 60657-6704 · (773) 296-7089 · Fax (773) 296-7731
Phone(773) 296-7089
Fax(773) 296-7731
Sole ProprietorNo
Enumeration DateApril 2, 2026
Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1265373310 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 · 209035144
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 ListedRegistered NurseTaxonomy 163W00000X · License 041443146 (IL)
900 W NELSON ST, Chicago, IL 60657
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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 (PECOS)

Mary Spedale is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 60657 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 20

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

DR. RYAN MATTHEW RHOME MD, PHD
Radiology (Radiation Oncology)
900 W NELSON ST
CHICAGO, IL 60657
Cook County (843) 412-9919
DR. JARED MICHAEL EMOLO MD
Colon & Rectal Surgery
900 W NELSON ST
CHICAGO, IL 60657
Cook County (773) 296-7095
NORA AL-SIBAIE PHARMD
Pharmacist
900 W NELSON ST
CHICAGO, IL 60657
Cook County (773) 296-3548
MYLENE HERNANDEZ REMO
Internal Medicine (Hematology & Oncology)
900 W NELSON ST
CHICAGO, IL 60657
Cook County (773) 296-8431
ISMAIL MERT MD
Obstetrics & Gynecology (Gynecologic Oncology)
900 W NELSON ST
CHICAGO, IL 60657
Cook County (773) 296-7089
TANYA M. PULVER MD
Obstetrics & Gynecology (Gynecologic Oncology)
900 W NELSON ST
CHICAGO, IL 60657
Cook County (773) 296-7089
MICHAEL Z KHAROUTA MD
Radiology (Radiation Oncology)
900 W NELSON ST
CHICAGO, IL 60657
Cook County (773) 296-7076
MR. ISMAM ISLAM
Genetic Counselor, MS
900 W NELSON ST
CHICAGO, IL 60657
Cook County (773) 296-5351

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 Spedale's NPI number?

The NPI number for Mary Spedale is 1265373310. It was assigned to this individual provider in the NPPES registry on April 2, 2026.

Where is Mary Spedale located?

Mary Spedale practices at 900 W Nelson St, Chicago, IL 60657. The listed phone number is (773) 296-7089.

What is Mary Spedale's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary Spedale enrolled in Medicare?

Yes. Mary Spedale is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Spedale was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.