MRS. CARLA LYNN ZAVALA APN
NPI 1700221892
Nurse Practitioner - Acute Care in New Lenox, IL

Q: What is Carla Zavala's NPI number?

The NPI number for Carla Zavala is 1700221892. It was assigned to this individual provider in the NPPES registry on May 3, 2013.

Q: What is Carla Zavala'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 Carla Zavala was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 May 03, 2013PECOS Enrolled

1890 SILVER CROSS BLVD, NEW LENOX, IL 60451(815) 723-4387(815) 723-4634 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 10, 2025, Apr 7, 2021 (2 updates tracked since 2021).

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About Mrs. Carla Lynn Zavala Apn NPPES

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

MRS. CARLA LYNN ZAVALA APN (NPI 1700221892) is an individual acute care provider in New Lenox, Illinois, licensed in Illinois (209010409) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1700221892

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. CARLA LYNN ZAVALACredential: APN

Location Address1890 SILVER CROSS BLVDNew Lenox, IL 60451-9524

Mailing Address1890 Silver Cross BlvdNew Lenox, IL 60451-9524 · (815) 723-4387 · Fax (815) 723-4634

Phone(815) 723-4387

Fax(815) 723-4634

Sole ProprietorYes

Enumeration DateMay 3, 2013

Last NPPES UpdateApril 10, 20252 updates tracked since enumeration

NPPES CertifiedApril 10, 2025

✔ NPI 1700221892 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 · 209010409

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 277.000885 (IL)

1890 SILVER CROSS BLVD, New Lenox, IL 60451

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Secondary Practice Locations 2

Location 1908 N Elm St Ste 202Hinsdale, IL 60521-3637 · Phone (630) 856-8640

Location 217800 Kedzie Ave Ste AmgHazel Crest, IL 60429-2029 · Phone (312) 609-0300 · Fax (773) 213-0378

Other Identifiers 3

Other206147IL · Medicare Ptan (group)

OtherF400100472IL · Medicare Ptan (individual)

Other041362928IL · Medicaid

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, 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 (PECOS)

Mrs. Carla Lynn Zavala Apn 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

Medicare enrollment records show Carla Zavala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adventist Health Partners, Inc

8.2 mi

Internal Medicine

644 S WEBER RD
Romeoville, IL 60446

Reassigned Medicare billing, Illinois enrollment
381 clinicians in this Medicare group

NPI 1740536812 (815) 254-3783

Advocate Health And Hospitals Corporation

18 mi

Mental Health (Including Community Mental Health Center)

4700 W 95TH ST, SUITE LOWER LEVEL 5
Oak Lawn, IL 60453

Reassigned Medicare billing, Illinois enrollment
4,870 clinicians in this Medicare group

NPI 1174747075 (800) 216-1110

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

101 services63 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

92 services90 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60451 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.

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.

DR. JOHN DONGAS M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

1890 SILVER CROSS BLVD, PAVILION A SUITE 240
NEW LENOX, IL 60451

Will County (815) 740-1900

CORINNE NAWROCKI D.O.

Family Medicine

1890 SILVER CROSS BLVD, SUITE 570
NEW LENOX, IL 60451

Will County (815) 463-3700

DR. JOSE ANTONIO PENAHERRERA M.D.

Internal Medicine

1890 SILVER CROSS BLVD, SUITE 265
NEW LENOX, IL 60451

Will County (815) 727-4292

MS. ELIZABETH MARIE DIBELLA PA-C

Physician Assistant

1890 SILVER CROSS BLVD
NEW LENOX, IL 60451

Will County (815) 723-4387

JULIA GRACE BANIA WHNP-BC

Nurse Practitioner (Women's Health)

1890 SILVER CROSS BLVD, #210
NEW LENOX, IL 60451

Will County (815) 463-3000

ZAFER JAWICH MD SC

Clinic/Center (Primary Care)

1890 SILVER CROSS BLVD, STE 350
NEW LENOX, IL 60451

Will County (815) 717-8737

KAREN JEAN KROOSWYK ARNP-ANP-BC

Nurse Practitioner (Adult Health)

1890 SILVER CROSS BLVD, STE 350
NEW LENOX, IL 60451

Will County (815) 714-8737

PROGRESSIVE SURGICAL ASSOCIATES SC

Surgery

1890 SILVER CROSS BLVD, SUITE 410
NEW LENOX, IL 60451

Will County (815) 717-8730

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 Carla Zavala's NPI number?

The NPI number for Carla Zavala is 1700221892. It was assigned to this individual provider in the NPPES registry on May 3, 2013.

Where is Carla Zavala located?

Carla Zavala practices at 1890 Silver Cross Blvd, New Lenox, IL 60451. The listed phone number is (815) 723-4387.

What is Carla Zavala's specialty?

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

Is Carla Zavala enrolled in Medicare?

Yes. Carla Zavala is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carla Zavala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carla Zavala reassigns Medicare benefits to 2 organizations: Adventist Health Partners, Inc (Romeoville, IL) and Advocate Health And Hospitals Corporation (Oak Lawn, 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 Carla Zavala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carla Zavala accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Carla Zavala 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 Carla Zavala was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.