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FADERIN BOTI
NPI 1770170466
Nurse Practitioner - Psychiatric/Mental Health in Oak Lawn, IL

Active since December 29, 2020PECOS EnrolledAccepts Medicare Assignment
4239 W 95TH ST, OAK LAWN, IL 60453(708) 519-0188 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 2, 2024, Dec 29, 2020 (2 updates tracked since 2020).

About Faderin Boti NPPES

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

FADERIN BOTI (NPI 1770170466) is an individual psychiatric/mental health provider in Oak Lawn, Illinois, licensed in Illinois (209017876) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1770170466
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameFADERIN BOTI
Location Address4239 W 95TH STOak Lawn, IL 60453-2623
Mailing Address4236 S Langley AveChicago, IL 60653-2912 · (708) 228-0464
Phone(708) 519-0188
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 29, 2020
Last NPPES UpdateJuly 2, 20242 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1770170466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209017876
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209017876 (IL)
4239 W 95TH ST, Oak Lawn, IL 60453
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health and more.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

Faderin Boti 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 ID5395112817
PECOS Enrollment IDI20221111002234
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 Reassignment

Medicare enrollment records show Faderin Boti reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beth Psychiatry LLC
15 mi
Psychiatric/Mental Health
20855 S LAGRANGE RD STE 205
Frankfort, IL 60423
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1063193829 (773) 985-3539

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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 6

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

MRS. TERESA ELAYYAN CADC, ICDVP
Counselor (Addiction (Substance Use Disorder))
4239 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 529-0188
MICHELLE NGUYEN
Nurse Practitioner (Family)
4239 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 529-0188
PATRICK LAWRENCE BRETT CADC
Counselor (Addiction (Substance Use Disorder))
4239 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 529-0188
SOLLEY'S MEDICAL GROUP
Family Medicine (Addiction Medicine)
4239 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 529-0188
SOLLEYS HOUSE
Clinic/Center (Rehabilitation, Substance Use Disorder)
4239 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 529-0188
MAUREEN HELEN SCHECHTMAN CADC
Counselor (Addiction (Substance Use Disorder))
4239 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 529-0188

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 Faderin Boti's NPI number?

The NPI number for Faderin Boti is 1770170466. It was assigned to this individual provider in the NPPES registry on December 29, 2020.

Where is Faderin Boti located?

Faderin Boti practices at 4239 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 519-0188.

What is Faderin Boti's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Faderin Boti enrolled in Medicare?

Yes. Faderin Boti 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 organization bills Medicare for Faderin Boti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Faderin Boti reassigns Medicare benefits to Beth Psychiatry LLC (Frankfort, IL). The 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 Faderin Boti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Faderin Boti accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Oscar Health and UnitedHealthcare list Faderin Boti 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 Faderin Boti was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.