Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GOLDEN STAR HEALTHCARE INC
NPI 1528812948
Nurse Practitioner in Gurnee, IL

Q: What is Golden Star Healthcare Inc's NPI number?

The NPI number for Golden Star Healthcare Inc is 1528812948. It was assigned to this organization in the NPPES registry on April 12, 2024.

Q: What is Golden Star Healthcare Inc's specialty?

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

Active since April 12, 2024CLIA Certified · 2 labs

4017 OLD GRAND AVE, GURNEE, IL 60031(224) 946-6859 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 2, 2026, Sep 18, 2026, Apr 12, 2024 (3 updates tracked since 2024).

On this page

About Golden Star Healthcare Inc NPPES

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

GOLDEN STAR HEALTHCARE INC (NPI 1528812948) is a healthcare organization registered as a nurse practitioner in Gurnee, Illinois and active in the NPI registry since April 2024. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Beach Park, and lists Marina Aurelio Estrella, Owner, as its authorized official.

NPPES Registry Identity

NPI1528812948

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameGOLDEN STAR HEALTHCARE INC

Location Address4017 OLD GRAND AVEGurnee, IL 60031-2848

Mailing Address4017 Old Grand AveGurnee, IL 60031-2848 · (224) 946-6859

Phone(224) 946-6859

Organization SubpartNo

Authorized OfficialMarina Aurelio EstrellaOwner · (224) 946-6859

Enumeration DateApril 12, 2024

Last NPPES UpdateOctober 2, 20263 updates tracked since enumeration

NPPES CertifiedOctober 2, 2026

✔ NPI 1528812948 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

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 ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

4017 OLD GRAND AVE, Gurnee, IL 60031

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Other Names 1

Doing Business AsGolden Star Healthcare Inc

Secondary Practice Location 1

Location 139256 N Queensbury LnBeach Park, IL 60083-3015 · Phone (224) 946-6859

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Golden Star Healthcare Inc 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 Golden Star Healthcare Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marina Estrella, FNP

Nurse Practitioner

NPI 1154010353

4017 OLD GRAND AVE
Gurnee, IL 60031

(224) 946-6859

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2349507

Golden Star Healthcare, Inc · Gurnee, IL

Active · expires Aug 20, 2028

CLIA Number14D2349507

Laboratory TypePractitioner Other

Certificate Effective DateAugust 21, 2026

Certificate Expiration DateAugust 20, 2028

Laboratory DirectorMarina A. Estrella

Laboratory Phone(224) 946-6859

Laboratory LocationGolden Star Healthcare, Inc4017 Old Grand Ave, Gurnee, IL 60031

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2348426

Golden Star Healthcare, Inc · Waukegan, IL

Active · expires Aug 4, 2028

CLIA Number14D2348426

Laboratory TypePractitioner Other

Certificate Effective DateAugust 5, 2026

Certificate Expiration DateAugust 4, 2028

Laboratory DirectorMarina A. Estrella

Laboratory Phone(224) 946-6859

Laboratory LocationGolden Star Healthcare, Inc2504 Washington St - Ste 401C, Waukegan, IL 60085

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Golden Star Healthcare Inc's NPI number?

The NPI number for Golden Star Healthcare Inc is 1528812948. It was assigned to this organization in the NPPES registry on April 12, 2024.

Where is Golden Star Healthcare Inc located?

Golden Star Healthcare Inc is located at 4017 Old Grand Ave, Gurnee, IL 60031. The listed phone number is (224) 946-6859.

What is Golden Star Healthcare Inc's specialty?

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

Is Golden Star Healthcare Inc enrolled in Medicare?

Yes. Golden Star Healthcare Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Golden Star Healthcare Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Golden Star Healthcare Inc. 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.

Does Golden Star Healthcare Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Golden Star Healthcare Inc was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.