MYMENOPAUSERX GYNECOLOGY GROUP PLLC
NPI 1548923717
Obstetrics & Gynecology - Gynecology in Wheaton, IL

Active since October 14, 2021
1604 N MAIN ST, WHEATON, IL 60187(630) 480-0428 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2022, Sep 27, 2022, Oct 14, 2021 (3 updates tracked since 2021).

About Mymenopauserx Gynecology Group Pllc NPPES

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

MYMENOPAUSERX GYNECOLOGY GROUP PLLC (NPI 1548923717) is a healthcare organization registered as a gynecology in Wheaton, Illinois and active in the NPI registry since October 2021. The organization lists Barbra Hanna, President, as its authorized official.

NPPES Registry Identity

NPI1548923717
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameMYMENOPAUSERX GYNECOLOGY GROUP PLLC
Location Address1604 N MAIN STWheaton, IL 60187-3145
Mailing Address1604 N Main StWheaton, IL 60187-3145
Organization SubpartNo
Authorized OfficialBarbra HannaPresident · (630) 480-0428
Enumeration DateOctober 14, 2021
Last NPPES UpdateOctober 7, 20223 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
✔ NPI 1548923717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1604 N MAIN ST, Wheaton, IL 60187

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mymenopauserx Gynecology Group Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20220215001121Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mymenopauserx Gynecology Group PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Obstetrics/Gynecology
NPI 1235322090
1604 N MAIN ST
Wheaton, IL 60187
(630) 480-0428
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104462563
1763 FREEDOM DR STE 117
Naperville, IL 60563
(630) 687-9595
✔ PECOS5.5 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 Mymenopauserx Gynecology Group PLLC's NPI number?

The NPI number for Mymenopauserx Gynecology Group PLLC is 1548923717. It was assigned to this organization in the NPPES registry on October 14, 2021.

Where is Mymenopauserx Gynecology Group PLLC located?

Mymenopauserx Gynecology Group PLLC is located at 1604 N Main St, Wheaton, IL 60187. The listed phone number is (630) 480-0428.

What is Mymenopauserx Gynecology Group PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Mymenopauserx Gynecology Group PLLC enrolled in Medicare?

Yes. Mymenopauserx Gynecology Group PLLC is registered in the Medicare PECOS enrollment system.

When is Mymenopauserx Gynecology Group PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mymenopauserx Gynecology Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mymenopauserx Gynecology Group PLLC, in Nurse Practitioner and Obstetrics/Gynecology. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mymenopauserx Gynecology Group PLLC was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.