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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MAURICIO O PINEDA APRN, CNP
NPI 1407595192
Nurse Practitioner in Oak Lawn, IL

Active since June 01, 2022PECOS Enrolled
94.1/100
CMS Quality Rating
4440 W 95TH ST STE 183, OAK LAWN, IL 60453(708) 684-4393 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 27, 2026, Nov 21, 2023, Oct 31, 2023 and 2 more (5 updates tracked since 2022).

About Mauricio O Pineda Aprn, Cnp NPPES

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

MAURICIO O PINEDA APRN, CNP (NPI 1407595192) is an individual nurse practitioner in Oak Lawn, Illinois, licensed in Illinois (209025355) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407595192
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMAURICIO O PINEDACredential: APRN, CNP
Location Address4440 W 95TH ST STE 183Oak Lawn, IL 60453-2600
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(708) 684-4393
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 1, 2022
Last NPPES UpdateOctober 27, 20265 updates tracked since enumeration
NPPES CertifiedOctober 27, 2026
✔ NPI 1407595192 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 · 209025355
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 Nurse · EmergencyTaxonomy 163WE0003X · License 041.450183 (IL)
4440 W 95TH ST STE 183, Oak Lawn, IL 60453
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1519 S Roselle RdSchaumburg, IL 60193-2925 · Phone (847) 985-0600 · Fax (847) 985-3786
Location 21000 N Westmoreland RdLake Forest, IL 60045-1658 · Phone (847) 535-6150 · Fax (847) 535-7801

Accepted Insurance

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

Mauricio O Pineda Aprn, Cnp 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 ID7315313236
PECOS Enrollment IDI20221018002424
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

5

Medicare enrollment records show Mauricio Pineda reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advocate Health & Hospitals Corporation
Same address
Medical Specialty
4440 W 95TH ST
Oak Lawn, IL 60453
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1912936014 (847) 390-5900
The Board Of Trustees Of The University Of Illinois
4.5 mi
Federally Qualified Health Center (FQHC)
8131 S MAY ST
Chicago, IL 60620
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1952713323 (312) 996-4656
Endeavor Health Medical Group
24 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235
Northwest Community Health Services Inc
27 mi
Obstetrics
880 W CENTRAL RD STE 6200
Arlington Heights, IL 60005
  • Reassigned Medicare billing, Illinois enrollment
  • 346 clinicians in this Medicare group
NPI 1467057513 (847) 618-0730
Northwestern Medical Faculty Foundation
35 mi
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
NPI 1346235314 (855) 694-2866

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 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
56 services55 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
33 services33 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
24 services21 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number140150
Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County
Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

DANA TIGGELAAR APRN
Nurse Practitioner
4440 W 95TH ST STE 183
OAK LAWN, IL 60453
Cook County (708) 684-4393
DR. STEPHANIE LYNN BONNE MD
Surgery (Trauma Surgery)
4440 W 95TH ST STE 183
OAK LAWN, IL 60453
Cook County (708) 684-4393
EMILY MARIE ROLL NP
Nurse Practitioner
4440 W 95TH ST STE 183
OAK LAWN, IL 60453
Cook County (708) 684-4393
DR. JAFAR HAGHSHENAS DO
Surgery (Surgical Critical Care)
4440 W 95TH ST STE 183
OAK LAWN, IL 60453
Cook County (708) 684-4393
DR. THOMAS JOHN CARTOLANO D.O.
Surgery (Surgical Critical Care)
4440 W 95TH ST STE 183
OAK LAWN, IL 60453
Cook County (708) 684-4393
CATHERINE GAS FNP-BC
Nurse Practitioner (Family)
4440 W 95TH ST STE 183
OAK LAWN, IL 60453
Cook County (708) 684-4393
JOHN M SANTANIELLO MD
Surgery
4440 W 95TH ST STE 183
OAK LAWN, IL 60453
Cook County (708) 684-4393
KELLY MISAKIAN FNP
Nurse Practitioner (Critical Care Medicine)
4440 W 95TH ST STE 183
OAK LAWN, IL 60453
Cook County (708) 520-1313

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 Mauricio Pineda's NPI number?

The NPI number for Mauricio Pineda is 1407595192. It was assigned to this individual provider in the NPPES registry on June 1, 2022.

Where is Mauricio Pineda located?

Mauricio Pineda practices at 4440 W 95th St Ste 183, Oak Lawn, IL 60453. The listed phone number is (708) 684-4393.

What is Mauricio Pineda's specialty?

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

Is Mauricio Pineda enrolled in Medicare?

Yes. Mauricio Pineda 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 Mauricio Pineda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mauricio Pineda reassigns Medicare benefits to 5 organizations: Advocate Health & Hospitals Corporation (Oak Lawn, IL), The Board Of Trustees Of The University Of Illinois (Chicago, IL), Endeavor Health Medical Group (Evanston, IL), Northwest Community Health Services Inc (Arlington Heights, IL) and Northwestern Medical Faculty Foundation (Carol Stream, IL). 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 Mauricio Pineda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mauricio Pineda accept?

Health plans from Ambetter Health and Oscar Health list Mauricio Pineda 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 Mauricio Pineda affiliated with any hospitals?

According to CMS data, Mauricio Pineda is affiliated with University Of Illinois Hospital And Clinics and Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Mauricio Pineda was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.