ENTIONA PRIFTI APRN
NPI 1851052203
Nurse Practitioner - Family in Melrose Park, IL

Q: What is Entiona Prifti's NPI number?

The NPI number for Entiona Prifti is 1851052203. It was assigned to this individual provider in the NPPES registry on January 7, 2022.

Q: What is Entiona Prifti's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Entiona Prifti was last updated on January 7, 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 07, 2022PECOS EnrolledAccepts Medicare Assignment

701 W NORTH AVE, MELROSE PARK, IL 60160(708) 538-4975(708) 538-5346 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Entiona Prifti Aprn NPPES

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

ENTIONA PRIFTI APRN (NPI 1851052203) is an individual family provider in Melrose Park, Illinois, licensed in Illinois (209023937) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Loyola Gottlieb Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1851052203

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameENTIONA PRIFTICredential: APRN

Location Address701 W NORTH AVEMelrose Park, IL 60160-1699

Mailing Address701 W North AveMelrose Park, IL 60160-1699 · (708) 538-4975 · Fax (708) 538-5346

Phone(708) 538-4975

Fax(708) 538-5346

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 7, 2022

NPPES CertifiedJanuary 7, 2022

✔ NPI 1851052203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209023937

701 W NORTH AVE, Melrose Park, IL 60160

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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

Entiona Prifti 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 ID6709263650

PECOS Enrollment IDI20220513001516

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 Entiona Prifti reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cepamerica Illinois LLP

Same address

Emergency Medicine

701 W NORTH AVE
Melrose Park, IL 60160

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

NPI 1093408502 (708) 681-3200

Physicians Immediate Care North Chicago LLC

5.9 mi

Urgent Care

4211 N CICERO AVE, SUITE 100
Chicago, IL 60641

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

NPI 1205814118 (815) 713-2738

Wellnow Urgent Care, PC

599 mi

Urgent Care

7375 OSWEGO RD, SUITE1
Liverpool, NY 13090

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Wellnow Urgent Care, P.C.
195 clinicians in this Medicare group

NPI 1669825162 (716) 699-9032

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 10

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

76 services36 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.

57 services51 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

46 services44 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

35 services35 patients

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.

34 services32 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

27 services26 patients

Hospital Affiliations CMS Care Compare

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

Loyola Gottlieb Memorial Hospital

Acute Care Hospitals · Melrose Park, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140008

Location701 West North AveMelrose Park, IL 60160 · Cook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60160 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.

DR. HENRY GIACINTO M. D.

Emergency Medicine

701 W NORTH AVE
MELROSE PARK, IL 60160

Cook County (708) 681-3200

FABIOLA ADRIANA NAVA-LOPEZ APN

Nurse Practitioner (Family)

701 W NORTH AVE
MELROSE PARK, IL 60160

Cook County (708) 681-3200

VICTORIA PREWITT

Case Manager/Care Coordinator

701 W NORTH AVE
MELROSE PARK, IL 60160

Cook County (708) 538-4816

GOTTLIEB MEMORIAL HOSPITAL

Clinic/Center (Adult Day Care)

701 W NORTH AVE
MELROSE PARK, IL 60160

Cook County (708) 538-5700

KIMBERLY NICOLE STANFORD CRNA

Nurse Anesthetist, Certified Registered

701 W NORTH AVE, ANESTHESIA DEPARTMENT
MELROSE PARK, IL 60160

Cook County (708) 681-7859

CEPAMERICA ILLINOIS LLP

Emergency Medicine

701 W NORTH AVE
MELROSE PARK, IL 60160

Cook County (708) 681-3200

JULIE BARTOSKI

Occupational Therapist

701 W NORTH AVE
MELROSE PARK, IL 60160

Cook County (708) 681-3200

DR. NICOLETTE MARIE BERNHARDT PSYD

Psychologist (Clinical)

701 W NORTH AVE
MELROSE PARK, IL 60160

Cook County (708) 681-3200

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 Entiona Prifti's NPI number?

The NPI number for Entiona Prifti is 1851052203. It was assigned to this individual provider in the NPPES registry on January 7, 2022.

Where is Entiona Prifti located?

Entiona Prifti practices at 701 W North Ave, Melrose Park, IL 60160. The listed phone number is (708) 538-4975.

What is Entiona Prifti's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Entiona Prifti enrolled in Medicare?

Yes. Entiona Prifti 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 organizations bill Medicare for Entiona Prifti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Entiona Prifti reassigns Medicare benefits to 3 organizations: Cepamerica Illinois LLP (Melrose Park, IL), Physicians Immediate Care North Chicago LLC (Chicago, IL) and Wellnow Urgent Care, PC (Liverpool, NY). 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 Entiona Prifti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Entiona Prifti affiliated with any hospitals?

According to CMS data, Entiona Prifti is affiliated with Loyola Gottlieb Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Entiona Prifti was last updated on January 7, 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.