MRS. MARICELA SANDOVAL APRN, BC
NPI 1376765685
Nurse Practitioner - Family in Chicago, IL

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
97.71/100
CMS Quality Rating
5758 S MARYLAND AVE, CHICAGO, IL 60637(773) 702-1000(773) 834-7068 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Maricela Sandoval Aprn, Bc NPPES

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

MRS. MARICELA SANDOVAL APRN, BC (NPI 1376765685) is an individual family provider in Chicago, Illinois and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1376765685
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARICELA SANDOVALCredential: APRN, BC
Location Address5758 S MARYLAND AVEChicago, IL 60637-1426
Mailing Address6137 S Mayfield AveChicago, IL 60638-4405 · (773) 702-1000 · Fax (773) 834-7068
Fax(773) 834-7068
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateMay 3, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1376765685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
5758 S MARYLAND AVE, Chicago, IL 60637

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

Mrs. Maricela Sandoval Aprn, 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 ID8628111051
PECOS Enrollment IDI20100206000017
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.

Areas of Expertise CMS Part B claims 5

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
206 services149 patients
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.
50 services47 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.
26 services26 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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.

97.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.43
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Adult Health)
5758 S MARYLAND AVE, MC 9028
CHICAGO, IL 60637
Physician Assistant (Medical)
5758 S MARYLAND AVE, UNIVERSITY OF CHICAGO MEDICAL CENTER
CHICAGO, IL 60637
Urology
5758 S MARYLAND AVE
CHICAGO, IL 60637
Physician Assistant
5758 S MARYLAND AVE
CHICAGO, IL 60637
Specialist (Research Study)
5758 S MARYLAND AVE, DCAM 5824
CHICAGO, IL 60637
Speech-Language Pathologist
5758 S MARYLAND AVE
CHICAGO, IL 60637
Dietitian, Registered
5758 S MARYLAND AVE
CHICAGO, IL 60637
Pharmacist
5758 S MARYLAND AVE, DCAM 1005
CHICAGO, IL 60637

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 Maricela Sandoval's NPI number?

The NPI number for Maricela Sandoval is 1376765685. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Maricela Sandoval located?

Maricela Sandoval practices at 5758 S Maryland Ave, Chicago, IL 60637. The listed phone number is (773) 702-1000.

What is Maricela Sandoval's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Maricela Sandoval enrolled in Medicare?

Yes. Maricela Sandoval 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.

Is Maricela Sandoval affiliated with any hospitals?

According to CMS data, Maricela Sandoval is affiliated with The University Of Chicago Medical Center.

When was this NPI record last updated?

The NPPES record for Maricela Sandoval was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.