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MARIO REMEDIOS ORTIZ PHD; PHCNS-BC, FNP-C
NPI 1265826226
Clinical Nurse Specialist - Community Health/Public Health in South Bend, IN

Active since March 26, 2015PECOS Enrolled
1700 MISHAWAKA AVE # SAC-130, HEALTH & WELLNESS CENTER, IU SOUTH BEND, SOUTH BEND, IN 46615(574) 520-5557(574) 520-5042 Get Directions Write a Review

NPPES record last updated: July 30, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mario Remedios Ortiz Phd; Phcns-bc, Fnp-c NPPES

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

MARIO REMEDIOS ORTIZ PHD; PHCNS-BC, FNP-C (NPI 1265826226) is an individual community health/public health provider in South Bend, Indiana, licensed in Indiana (71005395A) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1265826226
Entity TypeIndividualMale
Primary Taxonomy364SC1501X
Provider Legal NameMARIO REMEDIOS ORTIZCredential: PHD; PHCNS-BC, FNP-C
Location Address1700 MISHAWAKA AVE # SAC-130, HEALTH & WELLNESS CENTER, IU SOUTH BENDSouth Bend, IN 46615-1408
Mailing Address1700 Mishawaka Ave # Sac-130, Health & Wellness Center, Iu South BendSouth Bend, IN 46615-1408 · (574) 520-5557 · Fax (574) 520-5042
Phone(574) 520-5557
Fax(574) 520-5042
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 26, 2015
Last NPPES UpdateJuly 30, 2015
✔ NPI 1265826226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Community Health/Public HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SC1501X
License✔ Licensed in IN · 71005395A
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 71005395A (IN)
1700 MISHAWAKA AVE # SAC-130, South Bend, IN 46615
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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 (PECOS)

Mario Remedios Ortiz Phd; Phcns-bc, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153752779
PECOS Enrollment IDI20200515000853
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 Mario Ortiz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Reach Medical PLLC
503 mi
General Practice
402 N CAYUGA ST
Ithaca, NY 14850
  • Reassigned Medicare billing, New York enrollment
  • 9 clinicians in this Medicare group
NPI 1831601533 (607) 273-7000

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 46615 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Reported Quality Measures

Cervical Cancer Screening
1%67 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
0%35 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
100%354 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
100%75 patients5/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 67% · 167 patients
Patients screened: 100% · 167 patients
61%140 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Mario Ortiz's NPI number?

The NPI number for Mario Ortiz is 1265826226. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Where is Mario Ortiz located?

Mario Ortiz practices at 1700 Mishawaka Ave # Sac-130 Health & Wellness Center, Iu South Bend, South Bend, IN 46615. The listed phone number is (574) 520-5557.

What is Mario Ortiz's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Community Health/Public Health, with taxonomy code 364SC1501X.

Is Mario Ortiz enrolled in Medicare?

Yes. Mario Ortiz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mario Ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Ortiz reassigns Medicare benefits to Reach Medical PLLC (Ithaca, NY). 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 Mario Ortiz'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 Mario Ortiz was last updated on July 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.