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ENRIQUE ZARAGOZA JR. NP
NPI 1861219412
Nurse Practitioner - Primary Care in Chicago, IL

Active since September 24, 2024PECOS EnrolledAccepts Medicare Assignment
5359 W FULLERTON AVE, CHICAGO, IL 60639(773) 836-2785 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 27, 2025, Sep 24, 2024 (2 updates tracked since 2024).

About Enrique Zaragoza Jr. Np NPPES

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

ENRIQUE ZARAGOZA JR. NP (NPI 1861219412) is an individual primary care provider in Chicago, Illinois, licensed in Illinois (209030391) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2023).

NPPES Registry Identity

NPI1861219412
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameENRIQUE ZARAGOZA JR.Credential: NP
Location Address5359 W FULLERTON AVEChicago, IL 60639-1450
Mailing Address5359 W Fullerton AveChicago, IL 60639-1450 · (773) 836-2785
Phone(773) 836-2785
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2023
Enumeration DateSeptember 24, 2024
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1861219412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in IL · 209030391
5359 W FULLERTON AVE, Chicago, IL 60639
Open in Google Maps ↗

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

Enrique Zaragoza Jr. Np 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 ID7719414960
PECOS Enrollment IDI20241230000821
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 Enrique Zaragoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pcc Community Wellness Center
2.6 mi
Federally Qualified Health Center (FQHC)
14 LAKE ST
Oak Park, IL 60302
  • Reassigned Medicare billing, Illinois enrollment
  • 221 clinicians in this Medicare group
NPI 1871516799 (708) 383-0113

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 60639 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.

KRISTEN MARIE MOSER M.D.
Family Medicine
5359 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 836-2785
LAURA A LICEA LCSW
Social Worker (Clinical)
5359 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (708) 836-2785
RACHEL BRDICKA FNP
Nurse Practitioner (Family)
5359 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 836-2785
COURTNEY CLASSEN SMITH-MATTHEWS
Dietitian, Registered
5359 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 836-2785
YESENIA YEPEZ MD
Family Medicine
5359 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 836-2785
MAX ROLAND RUBEN MD
Family Medicine
5359 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 836-2785
DR. KESANET T GEBREKIDAN DDS
Dentist
5359 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 637-7053
GLADYS ESTRADA M.D.
Family Medicine
5359 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (708) 763-2369

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 Enrique Zaragoza's NPI number?

The NPI number for Enrique Zaragoza is 1861219412. It was assigned to this individual provider in the NPPES registry on September 24, 2024.

Where is Enrique Zaragoza located?

Enrique Zaragoza practices at 5359 W Fullerton Ave, Chicago, IL 60639. The listed phone number is (773) 836-2785.

What is Enrique Zaragoza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Enrique Zaragoza enrolled in Medicare?

Yes. Enrique Zaragoza 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 Enrique Zaragoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Enrique Zaragoza reassigns Medicare benefits to Pcc Community Wellness Center (Oak Park, 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 Enrique Zaragoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Enrique Zaragoza was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.