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KATELYN MIRABITO PA-C
NPI 1720597891
Physician Assistant in Hanover Park, IL

Active since September 21, 2017PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
1515 E LAKE ST, HANOVER PARK, IL 60133(847) 472-1500 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 1, 2021, Oct 14, 2020, Sep 23, 2019 and 2 more (5 updates tracked since 2017).

About Katelyn Mirabito Pa-c NPPES

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

KATELYN MIRABITO PA-C (NPI 1720597891) is an individual physician assistant in Hanover Park, Illinois, licensed in Illinois (085006610) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1720597891
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATELYN MIRABITOCredential: PA-C
Location Address1515 E LAKE STHanover Park, IL 60133-4869
Mailing Address1515 E Lake StHanover Park, IL 60133-4869 · (847) 472-1500
Phone(847) 472-1500
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 21, 2017
Last NPPES UpdateApril 1, 20215 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
✔ NPI 1720597891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in IL · 085006610✔ Licensed in IN · 10002952A✔ Licensed in MA · PA6276
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1515 E LAKE ST, Hanover Park, IL 60133
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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

Katelyn Mirabito Pa-c 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 ID5395011241
PECOS Enrollment IDI20181113003013
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 9

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
136 services136 patients
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.
40 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc U0002
This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.
31 services31 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
23 services23 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60133 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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

Other Providers at the Same Location NPPES 12

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

LS MEDICAL GROUP,L.L.C.
Internal Medicine
1515 E LAKE ST, SUITE 208
HANOVER PARK, IL 60133
Dupage County (312) 576-3678
SALMAN KHALEELUDDIN D.O.
Family Medicine
1515 E LAKE ST
HANOVER PARK, IL 60133
Dupage County (630) 313-5300
DR. SUSAN AGUILA MANGAHAS M.D.
Pediatrics
1515 E LAKE ST, SUITE 203
HANOVER PARK, IL 60133
Dupage County (630) 830-5926
MRS. MARCELLA INGARRA CIMINO NP
Nurse Practitioner (Pediatrics)
1515 E LAKE ST
HANOVER PARK, IL 60133
Dupage County (630) 830-5926
ALEXIAN BROTHERS HOME INFUSION
Home Infusion
1515 E LAKE ST, SUITE 210
HANOVER PARK, IL 60133
Dupage County (630) 233-5010
TERESA JOERGER DAVIS MS, CCC/SLP
Speech-Language Pathologist
1515 E LAKE ST
HANOVER PARK, IL 60133
Dupage County (847) 366-2417
MEA MEDICAL CARE CENTERS, LLC
Emergency Medicine
1515 E LAKE ST
HANOVER PARK, IL 60133
Dupage County (847) 472-1500
ALEXIAN BROTHERS MEDICAL CENTER
Hospice Care, Community Based
1515 E LAKE ST, SUITE 206
HANOVER PARK, IL 60133
Dupage County (630) 233-5100

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 Katelyn Mirabito's NPI number?

The NPI number for Katelyn Mirabito is 1720597891. It was assigned to this individual provider in the NPPES registry on September 21, 2017.

Where is Katelyn Mirabito located?

Katelyn Mirabito practices at 1515 E Lake St, Hanover Park, IL 60133. The listed phone number is (847) 472-1500.

What is Katelyn Mirabito's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Katelyn Mirabito enrolled in Medicare?

Yes. Katelyn Mirabito 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.

Is Katelyn Mirabito affiliated with any hospitals?

According to CMS data, Katelyn Mirabito is affiliated with Elmhurst Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Katelyn Mirabito was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.