BLUEHEALTH MEDICAL LLC
NPI 1417630229
Nurse Practitioner in Chicago, IL
About Bluehealth Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUEHEALTH MEDICAL LLC (NPI 1417630229) is a healthcare organization registered as a nurse practitioner in Chicago, Illinois and active in the NPI registry since August 2023. The organization lists Mary-jennelle Guevara, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bluehealth Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bluehealth Medical LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Bluehealth Medical LLC's NPI number?
The NPI number for Bluehealth Medical LLC is 1417630229. It was assigned to this organization in the NPPES registry on August 9, 2023.
Where is Bluehealth Medical LLC located?
Bluehealth Medical LLC is located at 3210 N Kilbourn Ave Unit 11, Chicago, IL 60641. The listed phone number is (773) 951-0941.
What is Bluehealth Medical LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Bluehealth Medical LLC enrolled in Medicare?
Yes. Bluehealth Medical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bluehealth Medical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Bluehealth Medical LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bluehealth Medical LLC was last updated on August 9, 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.
# Bluehealth Medical Llc · NPI 1417630229
Nurse Practitioner organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since August 9, 2023.
## Identity
- **NPI:** 1417630229 (Entity type: Organization)
- **Enumerated:** August 9, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Mary-Jennelle Guevara, OWNER
## Practice location
- **Address:** 3210 N KILBOURN AVE UNIT 11, Chicago, IL 60641-4571
- **Phone:** (773) 951-0941
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1417630229) · Data from the CMS NPPES public registry.