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SALLY SALAZAR
NPI 1417664707
Nurse Practitioner - Adult Health in Bolingbrook, IL

Active since November 04, 2022PECOS EnrolledAccepts Medicare Assignment
1497 SOMERFIELD DR, BOLINGBROOK, IL 60490(630) 506-2068 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 17, 2023, Nov 4, 2022 (2 updates tracked since 2022).

About Sally Salazar NPPES

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

SALLY SALAZAR (NPI 1417664707) is an individual adult health provider in Bolingbrook, Illinois, licensed in Illinois (209.026133) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417664707
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSALLY SALAZAR
Location Address1497 SOMERFIELD DRBolingbrook, IL 60490-3207
Mailing Address1497 Somerfield DrBolingbrook, IL 60490-3207 · (630) 506-2068
Phone(630) 506-2068
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 4, 2022
Last NPPES UpdateAugust 17, 20232 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
✔ NPI 1417664707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IL · 209.026133
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 209.026133 (IL)
1497 SOMERFIELD DR, Bolingbrook, IL 60490
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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 and accepts Medicare assignment

Sally Salazar 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 ID6103297700
PECOS Enrollment IDI20230118001557
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

3

Medicare enrollment records show Sally Salazar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Yusuf Salah LLC
17 mi
Family
7300 W COLLEGE DR STE 102
Palos Heights, IL 60463
  • Reassigned Medicare billing, Illinois enrollment
  • 53 clinicians in this Medicare group
NPI 1982254850 (708) 840-3733
Cardiac Vision LLC
28 mi
Cardiovascular Disease
948 N DAMEN AVE
Chicago, IL 60622
  • Reassigned Medicare billing, Illinois enrollment
  • 29 clinicians in this Medicare group
NPI 1275990707 (904) 836-7565
Midwest Home Physicians Inc
334 mi
Multi-Specialty
1536 SAINT CLAIR AVE NE
Cleveland, OH 44114
  • Reassigned Medicare billing, Illinois enrollment
  • 20 clinicians in this Medicare group
NPI 1760086540 (216) 243-9188

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,873 services340 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
119 services118 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
114 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60490 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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 Sally Salazar's NPI number?

The NPI number for Sally Salazar is 1417664707. It was assigned to this individual provider in the NPPES registry on November 4, 2022.

Where is Sally Salazar located?

Sally Salazar practices at 1497 Somerfield Dr, Bolingbrook, IL 60490. The listed phone number is (630) 506-2068.

What is Sally Salazar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Sally Salazar enrolled in Medicare?

Yes. Sally Salazar 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 Sally Salazar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sally Salazar reassigns Medicare benefits to 3 organizations: Yusuf Salah LLC (Palos Heights, IL), Cardiac Vision LLC (Chicago, IL) and Midwest Home Physicians Inc (Cleveland, OH). 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 Sally Salazar'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 Sally Salazar was last updated on August 17, 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.