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CHARMAINE PELAYO
NPI 1366084725
Nurse Practitioner in Chicago Ridge, IL

Active since October 16, 2019PECOS Enrolled
10604 SOUTHWEST HWY, CHICAGO RIDGE, IL 60415(708) 422-0636 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 24, 2023, Oct 16, 2019 (2 updates tracked since 2019).

About Charmaine Pelayo NPPES

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

CHARMAINE PELAYO (NPI 1366084725) is an individual nurse practitioner in Chicago Ridge, Illinois, licensed in Illinois (209.019560) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366084725
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCHARMAINE PELAYO
Location Address10604 SOUTHWEST HWYChicago Ridge, IL 60415-2704
Mailing Address10604 Southwest HwyChicago Ridge, IL 60415-2704 · (708) 422-0636
Phone(708) 422-0636
Sole ProprietorNo
Enumeration DateOctober 16, 2019
Last NPPES UpdateOctober 24, 20232 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
✔ NPI 1366084725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209.019560
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.
10604 SOUTHWEST HWY, Chicago Ridge, IL 60415
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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)

Charmaine Pelayo 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.

Medicare Billing Reassignment

Medicare enrollment records show Charmaine Pelayo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Midwest Pulmonary Critical Care & Sleep Consultants LLC
3.0 mi
Pulmonary Disease
12820 S RIDGELAND AVE STE B
Palos Heights, IL 60463
  • Reassigned Medicare billing, Illinois enrollment
  • 52 clinicians in this Medicare group
NPI 1467951095 (708) 371-8006

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 60415 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.

Referred Medical Equipment & Supplies CMS DME claims 11

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers25 claims25 services$34.88 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers17 claims17 services$74.22 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers16 claims44 services$26.89 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers11 claims11 services$48.86 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers16 claims16 services$15.68 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
8 suppliers31 claims171 services$1.69 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 3

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

KATHRYN HOUBOLT
Nurse Practitioner (Family)
10604 SOUTHWEST HWY
CHICAGO RIDGE, IL 60415
Cook County (708) 860-5283
AMANDA KELSEY JEDRZEJAK FNP-BC
Nurse Practitioner (Family)
10604 SOUTHWEST HWY
CHICAGO RIDGE, IL 60415
Cook County (708) 424-9710
EXPRESS URGENT CARE LLC
Clinic/Center (Urgent Care)
10604 SOUTHWEST HWY, SUITE 109
CHICAGO RIDGE, IL 60415
Cook County (708) 529-0156

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 Charmaine Pelayo's NPI number?

The NPI number for Charmaine Pelayo is 1366084725. It was assigned to this individual provider in the NPPES registry on October 16, 2019.

Where is Charmaine Pelayo located?

Charmaine Pelayo practices at 10604 Southwest Hwy, Chicago Ridge, IL 60415. The listed phone number is (708) 422-0636.

What is Charmaine Pelayo's specialty?

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

Is Charmaine Pelayo enrolled in Medicare?

Yes. Charmaine Pelayo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charmaine Pelayo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charmaine Pelayo reassigns Medicare benefits to Midwest Pulmonary Critical Care & Sleep Consultants LLC (Palos Heights, IL). 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 Charmaine Pelayo'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 Charmaine Pelayo was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.