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

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: August 16, 2026.

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 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
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

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

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.

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

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.

Emergency Medicine
701 W NORTH AVE
MELROSE PARK, IL 60160
Nurse Practitioner (Family)
701 W NORTH AVE
MELROSE PARK, IL 60160
Case Manager/Care Coordinator
701 W NORTH AVE
MELROSE PARK, IL 60160
Clinic/Center (Adult Day Care)
701 W NORTH AVE
MELROSE PARK, IL 60160
Nurse Anesthetist, Certified Registered
701 W NORTH AVE, ANESTHESIA DEPARTMENT
MELROSE PARK, IL 60160
Emergency Medicine
701 W NORTH AVE
MELROSE PARK, IL 60160
Occupational Therapist
701 W NORTH AVE
MELROSE PARK, IL 60160
Psychologist (Clinical)
701 W NORTH AVE
MELROSE PARK, IL 60160

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.

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.