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MS. ENES MUGNOLO AGPCNP
NPI 1609396860
Nurse Practitioner - Adult Health in Lombard, IL

Active since June 20, 2017PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
1088 KUFRIN WAY, LOMBARD, IL 60148(630) 484-5094 Get Directions Write a Review

NPPES record last updated: June 20, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Enes Mugnolo Agpcnp NPPES

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

MS. ENES MUGNOLO AGPCNP (NPI 1609396860) is an individual adult health provider in Lombard, Illinois, licensed in Illinois (209.014796) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1609396860
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. ENES MUGNOLOCredential: AGPCNP
Location Address1088 KUFRIN WAYLombard, IL 60148-3429
Mailing AddressPo Box 7405Villa Park, IL 60181-7405 · (630) 484-5094
Phone(630) 484-5094
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 20, 2017
✔ NPI 1609396860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IL · 209.014796
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 209.014796 (IL)
1088 KUFRIN WAY, Lombard, IL 60148
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Enes Mugnolo Agpcnp 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 ID7719251164
PECOS Enrollment IDI20250626000962
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

4

Medicare enrollment records show Enes Mugnolo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Edward Health Ventures
3.0 mi
Clinic/Center
1200 S YORK ST, STE 3160
Elmhurst, IL 60126
  • Reassigned Medicare billing, Illinois enrollment
  • 561 clinicians in this Medicare group
NPI 1275963027 (331) 221-9090
Elmhurst Memorial Healthcare
3.0 mi
Multi-Specialty
1200 S YORK ST
Elmhurst, IL 60126
  • Reassigned Medicare billing, Illinois enrollment
  • 240 clinicians in this Medicare group
NPI 1457493454 (331) 221-9000
Endeavor Health Medical Group
21 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235
Carelink Primary Care
791 mi
Primary Care
907 MAR WALT DR STE 2023
Fort Walton Beach, FL 32547
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
NPI 1982495024 (850) 613-4024

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 5

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 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.
302 services85 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
292 services89 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
140 services104 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
80 services74 patients
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.
24 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60148 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier56 claims56 services$42.96 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
1 supplier16 claims32 services$24.28 avg. paid by Medicare
General use wheelchair seat cushion, width less than 22 inches, any depth E2601
DME-Wheelchairs · category DD021N
1 supplier14 claims14 services$32.94 avg. paid by Medicare
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware E2611
DME-Wheelchairs · category DD021N
1 supplier18 claims18 services$135.71 avg. paid by Medicare
Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
1 supplier65 claims65 services$30.89 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier51 claims51 services$29.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Enes Mugnolo's NPI number?

The NPI number for Enes Mugnolo is 1609396860. It was assigned to this individual provider in the NPPES registry on June 20, 2017.

Where is Enes Mugnolo located?

Enes Mugnolo practices at 1088 Kufrin Way, Lombard, IL 60148. The listed phone number is (630) 484-5094.

What is Enes Mugnolo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Enes Mugnolo enrolled in Medicare?

Yes. Enes Mugnolo 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.

Which organizations bill Medicare for Enes Mugnolo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Enes Mugnolo reassigns Medicare benefits to 4 organizations: Edward Health Ventures (Elmhurst, IL), Elmhurst Memorial Healthcare (Elmhurst, IL), Endeavor Health Medical Group (Evanston, IL) and Carelink Primary Care (Fort Walton Beach, FL). 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 Enes Mugnolo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Enes Mugnolo accept?

Health plans from Oscar Health list Enes Mugnolo 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 Enes Mugnolo was last updated on June 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.