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GABRIELA STOIA
NPI 1477324655
Nurse Practitioner in Chicago, IL

Active since January 16, 2024PECOS EnrolledAccepts Medicare Assignment
5555 N SHERIDAN RD, CHICAGO, IL 60640(773) 944-0484 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gabriela Stoia NPPES

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

GABRIELA STOIA (NPI 1477324655) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209029184) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1477324655
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameGABRIELA STOIA
Location Address5555 N SHERIDAN RDChicago, IL 60640-1601
Mailing Address28412 N Hilltop TerMundelein, IL 60060-9556 · (714) 220-7958
Phone(773) 944-0484
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 16, 2024
Last NPPES UpdateFebruary 9, 2024
NPPES CertifiedFebruary 9, 2024
✔ NPI 1477324655 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 · 209029184
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 ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 036-099795 (IL)
5555 N SHERIDAN RD, Chicago, IL 60640
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Gabriela Stoia 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 ID8921449679
PECOS Enrollment IDI20240612000061
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 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 straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,376 services134 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.
54 services54 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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60640 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.

Other Providers at the Same Location NPPES 3

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

DR. RITA JOANNE SABAITIS DDS
Dentist (General Practice)
5555 N SHERIDAN RD
CHICAGO, IL 60640
Cook County (773) 334-3882
LIFELINE HEALTH CARE, INC.
Home Health
5555 N SHERIDAN RD, SUITE 024
CHICAGO, IL 60640
Cook County (773) 271-4115
DOCS ON WHEELS LLC
Podiatrist
5555 N SHERIDAN RD, 023
CHICAGO, IL 60640
Cook County (773) 271-0807

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 Gabriela Stoia's NPI number?

The NPI number for Gabriela Stoia is 1477324655. It was assigned to this individual provider in the NPPES registry on January 16, 2024.

Where is Gabriela Stoia located?

Gabriela Stoia practices at 5555 N Sheridan Rd, Chicago, IL 60640. The listed phone number is (773) 944-0484.

What is Gabriela Stoia's specialty?

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

Is Gabriela Stoia enrolled in Medicare?

Yes. Gabriela Stoia 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.

What insurance does Gabriela Stoia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Gabriela Stoia 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.

When was this NPI record last updated?

The NPPES record for Gabriela Stoia was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.