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MARGARITA MANA-AY MSN, MPH, NP-C
NPI 1437647989
Nurse Practitioner in Chicago, IL

Active since April 30, 2018PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
675 N SAINT CLAIR ST, CHICAGO, IL 60611(312) 926-0002 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2019, Apr 30, 2018 (2 updates tracked since 2018).

About Margarita Mana-ay Msn, Mph, Np-c NPPES

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

MARGARITA MANA-AY MSN, MPH, NP-C (NPI 1437647989) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209.017513) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Northwestern Lake Forest Hospital, and is a graduate of Johns Hopkins University School Of Medicine (2017).

NPPES Registry Identity

NPI1437647989
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARGARITA MANA-AYCredential: MSN, MPH, NP-C
Location Address675 N SAINT CLAIR STChicago, IL 60611-5975
Mailing Address675 N Saint Clair St Ste 20-150Chicago, IL 60611-5979 · (312) 695-2153 · Fax (312) 695-4703
Phone(312) 926-0002
Sole ProprietorYes
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2017
Enumeration DateApril 30, 2018
Last NPPES UpdateAugust 29, 20192 updates tracked since enumeration
✔ NPI 1437647989 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 · 209.017513
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.
675 N SAINT CLAIR ST, Chicago, IL 60611
Open in Google Maps ↗

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

Margarita Mana-ay Msn, Mph, Np-c 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 ID2769737469
PECOS Enrollment IDI20180621000217
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.
99 services81 patients
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.
81 services70 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.
74 services52 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 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.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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 20

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

TAYLOR MARIE HOGAN WINTERHALER AGACNP-BC
Nurse Practitioner (Acute Care)
675 N SAINT CLAIR ST
CHICAGO, IL 60611
Cook County (206) 883-7722
SHARON A ALLEN APRN
Nurse Practitioner (Adult Health)
675 N SAINT CLAIR ST, 21-100
CHICAGO, IL 60611
Cook County (312) 695-0316
HERON RODRIGUEZ MD
Surgery (Vascular Surgery)
675 N SAINT CLAIR ST, NORTHWESTERN MEMORIAL HOSPIALT GALTER 19-100
CHICAGO, IL 60611
Cook County (312) 695-2714
DR. DARREN MICHAEL BRENNER M.D.
Internal Medicine (Gastroenterology)
675 N SAINT CLAIR ST, SUITE 17-250
CHICAGO, IL 60611
Cook County (312) 695-5620
DR. ABDUL AZIZ AADAM M.D.
Internal Medicine (Gastroenterology)
675 N SAINT CLAIR ST, GASTROENTEROLOGY - SUITE 1400
CHICAGO, IL 60611
Cook County (312) 926-2000
JAN ELMAN STOUT PSYD
Psychologist (Clinical)
675 N SAINT CLAIR ST, SUITE 14-200
CHICAGO, IL 60611
Cook County (312) 695-7269
EMILY ELIZABETH HANDLEY OTD, OTR/L
Occupational Therapist
675 N SAINT CLAIR ST
CHICAGO, IL 60611
Cook County (815) 919-1791
SEEMA SINGHAL MD
Internal Medicine (Hematology)
675 N SAINT CLAIR ST, GALTER 21-100
CHICAGO, IL 60611
Cook County (312) 695-0990

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 Margarita Mana-ay's NPI number?

The NPI number for Margarita Mana-ay is 1437647989. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Where is Margarita Mana-ay located?

Margarita Mana-ay practices at 675 N Saint Clair St, Chicago, IL 60611. The listed phone number is (312) 926-0002.

What is Margarita Mana-ay's specialty?

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

Is Margarita Mana-ay enrolled in Medicare?

Yes. Margarita Mana-ay 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 Margarita Mana-ay affiliated with any hospitals?

According to CMS data, Margarita Mana-ay is affiliated with Northwestern Lake Forest Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Margarita Mana-ay was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.