MARY ELIZABETH ETERNO PA-C
NPI 1962266957
Physician Assistant - Surgical in Northbrook, IL

Q: What is Mary Eterno's NPI number?

The NPI number for Mary Eterno is 1962266957. It was assigned to this individual provider in the NPPES registry on February 9, 2024.

Q: What is Mary Eterno's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Mary Eterno was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since February 09, 2024PECOS EnrolledAccepts Medicare Assignment

501 SKOKIE BLVD, NORTHBROOK, IL 60062(847) 504-3300 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2024, Aug 23, 2024, Jun 30, 2024 and 1 more (4 updates tracked since 2024).

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About Mary Elizabeth Eterno Pa-c NPPES

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

MARY ELIZABETH ETERNO PA-C (NPI 1962266957) is an individual surgical provider in Northbrook, Illinois, licensed in Illinois (085010360) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Norridge.

NPPES Registry Identity

NPI1962266957

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMARY ELIZABETH ETERNOCredential: PA-C

Location Address501 SKOKIE BLVDNorthbrook, IL 60062-2802

Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 570-2040

Phone(847) 504-3300

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 9, 2024

Last NPPES UpdateDecember 30, 20244 updates tracked since enumeration

NPPES CertifiedDecember 30, 2024

✔ NPI 1962266957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in IL · 085010360

Also ListedPhysician AssistantTaxonomy 363A00000X · License 085010360 (IL)

501 SKOKIE BLVD, Northbrook, IL 60062

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Secondary Practice Location 1

Location 14900 N Cumberland AveNorridge, IL 60706-2901 · Phone (708) 456-1600

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

Mary Elizabeth Eterno Pa-c 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 ID9234577180

PECOS Enrollment IDI20240410004002

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 4

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

18 services18 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.

18 services18 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.

12 services12 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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140010

Location2650 Ridge AveEvanston, IL 60201 · Cook County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUE J. KIM MD

Otolaryngology