MRS. MARISA MEDINA APRN
NPI 1891256517
Nurse Practitioner - Family in Joliet, IL

Q: What is Marisa Medina's NPI number?

The NPI number for Marisa Medina is 1891256517. It was assigned to this individual provider in the NPPES registry on March 26, 2019. The provider is also known as Marisa Ruiz.

Q: What is Marisa Medina'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 Marisa Medina was last updated on September 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 26, 2019PECOS Enrolled

1106 NEAL AVE, JOLIET, IL 60433(815) 727-8670 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Marisa Medina Aprn NPPES

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

MRS. MARISA MEDINA APRN (NPI 1891256517) is an individual family provider in Joliet, Illinois, licensed in Illinois (209018928) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891256517

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MARISA MEDINACredential: APRN

Location Address1106 NEAL AVEJoliet, IL 60433-2548

Mailing Address1106 Neal AveJoliet, IL 60433 · (815) 727-8670

Phone(815) 727-8670

Sole ProprietorNo

Enumeration DateMarch 26, 2019

Last NPPES UpdateSeptember 8, 2021

NPPES CertifiedSeptember 8, 2021

✔ NPI 1891256517 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 · 209018928

1106 NEAL AVE, Joliet, IL 60433

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Other Names 1

Former Name (1)Marisa Ruiz

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Marisa Medina Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60433 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.

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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.

DOLLY OSAS AGBA NURSE PRACTITIONER

Nurse Practitioner (Adult Health)