MPAC ACO REACH PLLC
NPI 1508603895
Nurse Practitioner in Chicago, IL

Active since July 12, 2024
3000 N HALSTED ST STE 803, CHICAGO, IL 60657(312) 447-1941 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mpac Aco Reach Pllc NPPES

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

MPAC ACO REACH PLLC (NPI 1508603895) is a healthcare organization registered as a nurse practitioner in Chicago, Illinois and active in the NPI registry since July 2024. The organization lists Sean Cannone, Cmo, as its authorized official.

NPPES Registry Identity

NPI1508603895
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMPAC ACO REACH PLLC
Location Address3000 N HALSTED ST STE 803Chicago, IL 60657-6185
Mailing Address2045 W Grand Ave Ste BChicago, IL 60612-1577 · (888) 705-8722
Organization SubpartNo
Authorized OfficialSean CannoneCmo · (330) 328-3167
Enumeration DateJuly 12, 2024
Last NPPES UpdateNovember 26, 2024
NPPES CertifiedNovember 26, 2024
✔ NPI 1508603895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
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.
3000 N HALSTED ST STE 803, Chicago, IL 60657

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mpac Aco Reach Pllc 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 Mpac Aco Reach PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1023031978
3814 GRANT STREET
Gary, IN 46408
(219) 884-3447
✔ PECOS✔ Accepts Medicare31 mi

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 Mpac Aco Reach PLLC's NPI number?

The NPI number for Mpac Aco Reach PLLC is 1508603895. It was assigned to this organization in the NPPES registry on July 12, 2024.

Where is Mpac Aco Reach PLLC located?

Mpac Aco Reach PLLC is located at 3000 N Halsted St Ste 803, Chicago, IL 60657. The listed phone number is (312) 447-1941.

What is Mpac Aco Reach PLLC's specialty?

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

Is Mpac Aco Reach PLLC enrolled in Medicare?

Yes. Mpac Aco Reach PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mpac Aco Reach PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mpac Aco Reach PLLC. 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 Mpac Aco Reach PLLC was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.