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MARISA REYES
NPI 1568997369
Nurse Practitioner - Family in Blue Island, IL

Active since April 29, 2017PECOS Enrolled
3046 127TH ST, BLUE ISLAND, IL 60406(708) 377-7920(708) 930-0414 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 22, 2023, Aug 8, 2023, Apr 29, 2017 (3 updates tracked since 2017).

About Marisa Reyes NPPES

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

MARISA REYES (NPI 1568997369) is an individual family provider in Blue Island, Illinois, licensed in Illinois (277.002190) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568997369
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARISA REYES
Location Address3046 127TH STBlue Island, IL 60406-1827
Mailing AddressPo Box 746721Atlanta, GA 30374-6721 · (312) 733-9730 · Fax (773) 866-8014
Phone(708) 377-7920
Fax(708) 930-0414
Sole ProprietorNo
Enumeration DateApril 29, 2017
Last NPPES UpdateAugust 22, 20233 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
✔ NPI 1568997369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 277.002190
Also ListedRegistered NurseTaxonomy 163W00000X · License 041.398512 (IL)
3046 127TH ST, Blue Island, IL 60406
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marisa Reyes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Marisa Reyes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Access Community Health Network
0.7 mi
Federally Qualified Health Center (FQHC)
13000 MAPLE AVE
Blue Island, IL 60406
  • Reassigned Medicare billing, Illinois enrollment
  • 413 clinicians in this Medicare group
NPI 1114005337 (708) 385-6100
Oak Street Health Physicians Group, PC
7.1 mi
Primary Care
1715 E 95TH ST
Chicago, IL 60617
  • Reassigned Medicare billing, Illinois enrollment
  • 343 clinicians in this Medicare group
NPI 1083051643 (773) 768-4437
Innovative Vascular And Therapeutics, PLLC
18 mi
Vascular & Interventional Radiology
1515 N HARLEM AVE STE 100
Oak Park, IL 60302
  • Reassigned Medicare billing, Illinois enrollment
  • 9 clinicians in this Medicare group
NPI 1386291664 (401) 575-0308

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

Areas of Expertise CMS Part B claims 2

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
84 services63 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60406 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 11

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

DR. KEVIN PAUL MALONE D.P.M.
Podiatrist
3046 127TH ST
BLUE ISLAND, IL 60406
Cook County (708) 377-7920
CYNTHIA CAZARES FNP
Nurse Practitioner (Family)
3046 127TH ST
BLUE ISLAND, IL 60406
Cook County (773) 453-6868
BEVERLY CHINELO ONYEKWULUJE
Family Medicine
3046 127TH ST
BLUE ISLAND, IL 60406
Cook County (708) 377-7920
ANGELA MERARI MARTINEZ
Nurse Practitioner
3046 127TH ST
BLUE ISLAND, IL 60406
Cook County (708) 377-7920
AVINASH MANTHA MD
Family Medicine
3046 127TH ST
BLUE ISLAND, IL 60406
Cook County (708) 377-7920
AMANDA KEENAN LCSW
Social Worker (Clinical)
3046 127TH ST
BLUE ISLAND, IL 60406
Cook County (708) 377-7920
DORIS FANDOHAN NURSE PRACTITIONER
Nurse Practitioner (Family)
3046 127TH ST
BLUE ISLAND, IL 60406
Cook County (708) 377-7920
ERIC AGUINALDO DO
Internal Medicine
3046 127TH ST
BLUE ISLAND, IL 60406
Cook County (708) 377-7920

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 Marisa Reyes's NPI number?

The NPI number for Marisa Reyes is 1568997369. It was assigned to this individual provider in the NPPES registry on April 29, 2017.

Where is Marisa Reyes located?

Marisa Reyes practices at 3046 127th St, Blue Island, IL 60406. The listed phone number is (708) 377-7920.

What is Marisa Reyes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marisa Reyes enrolled in Medicare?

Yes. Marisa Reyes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marisa Reyes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marisa Reyes reassigns Medicare benefits to 3 organizations: Access Community Health Network (Blue Island, IL), Oak Street Health Physicians Group, PC (Chicago, IL) and Innovative Vascular And Therapeutics, PLLC (Oak Park, IL). Each 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 Marisa Reyes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marisa Reyes was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.