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CATHERINE MELISSA CLARO NP-BC
NPI 1326510884
Nurse Practitioner in Park Ridge, IL

Active since December 21, 2018PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
1875 DEMPSTER ST STE 625, PARK RIDGE, IL 60068(847) 723-4088(847) 627-8700 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 26, 2025, Dec 12, 2019, Dec 21, 2018 (3 updates tracked since 2018).

About Catherine Melissa Claro Np-bc NPPES

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

CATHERINE MELISSA CLARO NP-BC (NPI 1326510884) is an individual nurse practitioner in Park Ridge, Illinois, licensed in Illinois (209.030769) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Advocate Condell Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1326510884
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCATHERINE MELISSA CLAROCredential: NP-BC
Location Address1875 DEMPSTER ST STE 625Park Ridge, IL 60068-1137
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(847) 723-4088
Fax(847) 627-8700
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 21, 2018
Last NPPES UpdateFebruary 26, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1326510884 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 · 209.030769
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 · FamilyTaxonomy 363LF0000X · License F343852-1 (NY)
1875 DEMPSTER ST STE 625, Park Ridge, IL 60068
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1611 Northern Blvd Ste 150Great Neck, NY 11021-5207 · Phone (516) 325-7000
Location 2130 E 77th StNew York, NY 10075-1851 · Phone (516) 325-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Catherine Melissa Claro Np-bc 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 ID7012240369
PECOS Enrollment IDI20250130000682
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 Reassignments

2

Medicare enrollment records show Catherine Claro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lutheran General Hospital
0.1 mi
Cardiovascular Disease
1775 DEMPSTER ST
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1801809306 (847) 723-2210
North Shore-Lij Medical PC
739 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

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

Areas of Expertise CMS Part B claims 2

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
106 services99 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
61 services45 patients

Hospital Affiliations CMS Care Compare 4

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

Advocate Condell Medical Center

Acute Care Hospitals · Libertyville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140202
Location801 S Milwaukee AveLibertyville, IL 60048 · Lake County
Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140288
Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County
Emergency services Birthing friendly

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140291
Location450 West Highway 22Barrington, IL 60010 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$187.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MICHAEL REZAK MD, PHD
Psychiatry & Neurology (Neurology)
1875 DEMPSTER ST STE 625
PARK RIDGE, IL 60068
Cook County (847) 723-4088
UMAIR AFZAL MD
Psychiatry & Neurology (Neurology)
1875 DEMPSTER ST STE 625
PARK RIDGE, IL 60068
Cook County (847) 723-4088
DR. DANIELLE RENEE RICE M.D.
Psychiatry & Neurology (Neurology)
1875 DEMPSTER ST STE 625
PARK RIDGE, IL 60068
Cook County (847) 723-4088
MAHNOOR REHMAN MD
Psychiatry & Neurology (Neurology)
1875 DEMPSTER ST STE 625
PARK RIDGE, IL 60068
Cook County (847) 723-4088
DR. ANDREW CHARLES MACDOUGALL D.O.
Psychiatry & Neurology (Neurology)
1875 DEMPSTER ST STE 625
PARK RIDGE, IL 60068
Cook County (708) 712-1531
KATHERINE SCHWARTZ D.O.
Psychiatry & Neurology (Neurocritical Care)
1875 DEMPSTER ST STE 625
PARK RIDGE, IL 60068
Cook County (847) 723-4088
DR. ANIBAL MOLINA LUGO MD
Psychiatry & Neurology (Neurology)
1875 DEMPSTER ST STE 625
PARK RIDGE, IL 60068
Cook County (847) 723-4088
MRS. JUDY ALISON MORIMOTO FNP-BC
Nurse Practitioner
1875 DEMPSTER ST STE 625
PARK RIDGE, IL 60068
Cook County (847) 723-4088

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 Catherine Claro's NPI number?

The NPI number for Catherine Claro is 1326510884. It was assigned to this individual provider in the NPPES registry on December 21, 2018.

Where is Catherine Claro located?

Catherine Claro practices at 1875 Dempster St Ste 625, Park Ridge, IL 60068. The listed phone number is (847) 723-4088.

What is Catherine Claro's specialty?

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

Is Catherine Claro enrolled in Medicare?

Yes. Catherine Claro 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 organizations bill Medicare for Catherine Claro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Catherine Claro reassigns Medicare benefits to 2 organizations: Lutheran General Hospital (Park Ridge, IL) and North Shore-Lij Medical PC (Great Neck, NY). Each 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 Catherine Claro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Catherine Claro accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Catherine Claro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Catherine Claro affiliated with any hospitals?

According to CMS data, Catherine Claro is affiliated with Advocate Condell Medical Center, Advocate Lutheran General Hospital, Advocate Good Samaritan Hospital and Advocate Good Shepherd Hospital.

When was this NPI record last updated?

The NPPES record for Catherine Claro was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.