BRANDI ITHAL APRN
NPI 1669060042
Nurse Practitioner - Acute Care in Maywood, IL

Q: What is Brandi Ithal's NPI number?

The NPI number for Brandi Ithal is 1669060042. It was assigned to this individual provider in the NPPES registry on January 1, 2021.

Q: What is Brandi Ithal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Brandi Ithal was last updated on June 3, 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.

Active since January 01, 2021PECOS EnrolledAccepts Medicare Assignment

2160 S 1ST AVE, MAYWOOD, IL 60153(630) 391-0962 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 3, 2021, Jan 1, 2021 (2 updates tracked since 2021).

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About Brandi Ithal Aprn NPPES

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

BRANDI ITHAL APRN (NPI 1669060042) is an individual acute care provider in Maywood, Illinois, licensed in Illinois (209023222) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Loyola University Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1669060042

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameBRANDI ITHALCredential: APRN

Location Address2160 S 1ST AVEMaywood, IL 60153-3328

Mailing Address2160 S 1st AveMaywood, IL 60153-3328

Phone(630) 391-0962

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 1, 2021

Last NPPES UpdateJune 3, 20222 updates tracked since enumeration

NPPES CertifiedJune 3, 2022

✔ NPI 1669060042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in IL · 209023222

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 041430200 (IL)

2160 S 1ST AVE, Maywood, IL 60153

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brandi Ithal Aprn 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 ID6608270053

PECOS Enrollment IDI20210806000189

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.

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

130 services110 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

54 services46 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140276

Location2160 S 1st AvenueMaywood, IL 60153 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 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 20

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

ANITA OZA NAGAMINE M.D.

Radiology (Diagnostic Radiology)