MARIEL DAYANA MIAGUSKO
NPI 1962184507
Nurse Practitioner - Family in Chicago, IL

Active since August 03, 2023PECOS EnrolledAccepts Medicare Assignment
3600 W FULLERTON AVE, CHICAGO, IL 60647(773) 782-2800(773) 782-5042 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 9, 2026, Aug 23, 2023 (2 updates tracked since 2023).

About Mariel Dayana Miagusko NPPES

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

MARIEL DAYANA MIAGUSKO (NPI 1962184507) is an individual family provider in Chicago, Illinois, licensed in Illinois (209028135) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1962184507
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIEL DAYANA MIAGUSKO
Location Address3600 W FULLERTON AVEChicago, IL 60647-2319
Mailing Address3600 W Fullerton AveChicago, IL 60647-2319 · (773) 782-2800 · Fax (773) 782-5042
Fax(773) 782-5042
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 3, 2023
Last NPPES UpdateSeptember 9, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1962184507 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 · 209028135
3600 W FULLERTON AVE, Chicago, IL 60647

Secondary Practice Location 1

Location 16416 W Belmont AveChicago, IL 60634-3921 · Phone (773) 782-2800 · Fax (773) 782-5042

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

Mariel Dayana Miagusko 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 ID5698219285
PECOS Enrollment IDI20240708001597
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 Mariel Miagusko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
3600 W FULLERTON AVE
Chicago, IL 60647
  • Reassigned Medicare billing, Illinois enrollment
  • 18 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60647 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.

Clinical Nurse Specialist
3600 W FULLERTON AVE
CHICAGO, IL 60647
Nurse Practitioner (Family)
3600 W FULLERTON AVE
CHICAGO, IL 60647
Social Worker (Clinical)
3600 W FULLERTON AVE
CHICAGO, IL 60647
Nurse Practitioner (Family)
3600 W FULLERTON AVE
CHICAGO, IL 60647
Nurse Practitioner
3600 W FULLERTON AVE
CHICAGO, IL 60647
Nurse Practitioner (Family)
3600 W FULLERTON AVE
CHICAGO, IL 60647
Pediatrics
3600 W FULLERTON AVE
CHICAGO, IL 60647
Midwife
3600 W FULLERTON AVE
CHICAGO, IL 60647

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 Mariel Miagusko's NPI number?

The NPI number for Mariel Miagusko is 1962184507. It was assigned to this individual provider in the NPPES registry on August 3, 2023.

Where is Mariel Miagusko located?

Mariel Miagusko practices at 3600 W Fullerton Ave, Chicago, IL 60647. The listed phone number is (773) 782-2800.

What is Mariel Miagusko's specialty?

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

Is Mariel Miagusko enrolled in Medicare?

Yes. Mariel Miagusko 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 Mariel Miagusko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariel Miagusko reassigns Medicare benefits to Infant Welfare Society Of Chicago (Chicago, 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 Mariel Miagusko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mariel Miagusko accept?

Health plans from Ambetter Health list Mariel Miagusko 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.

When was this NPI record last updated?

The NPPES record for Mariel Miagusko was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.