LICETTE PRISCILLA CUAUTLE
NPI 1871377713
Nurse Practitioner - Family in Joliet, IL

Active since August 22, 2023PECOS EnrolledAccepts Medicare Assignment
1508 ESSINGTON RD STE 5, JOLIET, IL 60435(815) 733-5952(888) 550-5352 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 20, 2026, Aug 23, 2024, Aug 22, 2023 (3 updates tracked since 2023).

About Licette Priscilla Cuautle NPPES

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

LICETTE PRISCILLA CUAUTLE (NPI 1871377713) is an individual family provider in Joliet, Illinois, licensed in Illinois (209.026373) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1871377713
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLICETTE PRISCILLA CUAUTLE
Location Address1508 ESSINGTON RD STE 5Joliet, IL 60435-2875
Mailing Address1508 Essington Rd Ste 5Joliet, IL 60435-2875 · (815) 733-5952 · Fax (888) 550-6381
Fax(888) 550-5352
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 22, 2023
Last NPPES UpdateJanuary 20, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1871377713 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 · 209.026373
1508 ESSINGTON RD STE 5, Joliet, IL 60435

Secondary Practice Location 1

Location 15841 S MARYLAND AVEChicago, IL 60637-1443 · Phone (888) 824-0200

Accepted 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

Licette Priscilla Cuautle 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 ID7810344512
PECOS Enrollment IDI20231116002020
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

3

Medicare enrollment records show Licette Cuautle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
1039 BROOK FOREST AVE
Shorewood, IL 60404
  • Reassigned Medicare billing, Illinois enrollment
  • 49 clinicians in this Medicare group
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 635 clinicians in this Medicare group
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 2,237 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 3

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

Ingalls Memorial Hospital

Acute Care Hospitals · Harvey, IL
2/5 CMS rating
OwnershipPhysician
CMS Certification Number140191
Location1 Ingalls DriveHarvey, IL 60426 · Cook County
Emergency services Birthing friendly

Silver Cross Hospital And Medical Centers

Acute Care Hospitals · New Lenox, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140213
Location1900 Silver Cross BlvdNew Lenox, IL 60451 · Will County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60435 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Nurse Practitioner (Family)
1508 ESSINGTON RD STE 5
JOLIET, IL 60435
Clinic/Center (Urgent Care)
1508 ESSINGTON RD STE 5
JOLIET, IL 60435
Physician Assistant
1508 ESSINGTON RD STE 5
JOLIET, IL 60435

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 Licette Cuautle's NPI number?

The NPI number for Licette Cuautle is 1871377713. It was assigned to this individual provider in the NPPES registry on August 22, 2023.

Where is Licette Cuautle located?

Licette Cuautle practices at 1508 Essington Rd Ste 5, Joliet, IL 60435. The listed phone number is (815) 733-5952.

What is Licette Cuautle's specialty?

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

Is Licette Cuautle enrolled in Medicare?

Yes. Licette Cuautle 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 Licette Cuautle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Licette Cuautle reassigns Medicare benefits to 3 organizations: E Mediate Cure LLC (Shorewood, IL), The University Of Chicago Medical Center (Chicago, IL) and University Of Chicago (Chicago, IL). 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 Licette Cuautle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Licette Cuautle accept?

Health plans from Ambetter Health list Licette Cuautle 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.

Is Licette Cuautle affiliated with any hospitals?

According to CMS data, Licette Cuautle is affiliated with The University Of Chicago Medical Center, Ingalls Memorial Hospital and Silver Cross Hospital And Medical Centers.

When was this NPI record last updated?

The NPPES record for Licette Cuautle was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.