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MARY ELIZABETH WATERLOO
NPI 1720634827
Nurse Practitioner in Homewood, IL

Active since August 14, 2019PECOS Enrolled
17901 GOVERNORS HWY STE 206, HOMEWOOD, IL 60430(708) 960-4280 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 11, 2021, Aug 14, 2019 (2 updates tracked since 2019).

About Mary Elizabeth Waterloo NPPES

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

MARY ELIZABETH WATERLOO (NPI 1720634827) is an individual nurse practitioner in Homewood, Illinois, licensed in Illinois (209019819) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720634827
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY ELIZABETH WATERLOO
Location Address17901 GOVERNORS HWY STE 206Homewood, IL 60430-1146
Mailing Address2160 S 1st AveMaywood, IL 60153-3328 · (708) 216-9000
Phone(708) 960-4280
Sole ProprietorNo
Enumeration DateAugust 14, 2019
Last NPPES UpdateNovember 11, 20212 updates tracked since enumeration
NPPES CertifiedNovember 11, 2021
✔ NPI 1720634827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209019819
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

17901 GOVERNORS HWY STE 206, Homewood, IL 60430
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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 (PECOS)

Mary Elizabeth Waterloo 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.

Areas of Expertise CMS Part B claims 8

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 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.
235 services115 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
106 services106 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.
91 services61 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
86 services81 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.
82 services45 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.
54 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60430 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 3

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

GEORGE VARGHESE FNP
Nurse Practitioner (Family)
17901 GOVERNORS HWY STE 206
HOMEWOOD, IL 60430
Cook County (708) 960-4280
MR. JEFFREY DAN INTUD
Nurse Practitioner (Family)
17901 GOVERNORS HWY STE 206
HOMEWOOD, IL 60430
Cook County (708) 960-4280
MS. CHRISTINE A OFFERMAN-IZZARELLI NURSE PRACTITIONER
Nurse Practitioner (Family)
17901 GOVERNORS HWY STE 206
HOMEWOOD, IL 60430
Cook County (708) 960-4280

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 Mary Waterloo's NPI number?

The NPI number for Mary Waterloo is 1720634827. It was assigned to this individual provider in the NPPES registry on August 14, 2019.

Where is Mary Waterloo located?

Mary Waterloo practices at 17901 Governors Hwy Ste 206, Homewood, IL 60430. The listed phone number is (708) 960-4280.

What is Mary Waterloo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary Waterloo enrolled in Medicare?

Yes. Mary Waterloo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Waterloo was last updated on November 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.