MARY JOY MESIONA MICABALO
NPI 1982535092
Nurse Practitioner in Westmont, IL

Q: What is Mary Joy Micabalo's NPI number?

The NPI number for Mary Joy Micabalo is 1982535092. It was assigned to this individual provider in the NPPES registry on May 27, 2026.

Q: What is Mary Joy Micabalo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Joy Micabalo was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 27, 2026PECOS Enrolled

801 N CASS AVE STE 300, WESTMONT, IL 60559(630) 963-4570(630) 963-6239 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2026, May 27, 2026 (2 updates tracked since 2026).

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About Mary Joy Mesiona Micabalo NPPES

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

MARY JOY MESIONA MICABALO (NPI 1982535092) is an individual nurse practitioner in Westmont, Illinois, licensed in Illinois (209.035564) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1982535092

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY JOY MESIONA MICABALO

Location Address801 N CASS AVE STE 300Westmont, IL 60559-1193

Mailing AddressPo Box 713260Chicago, IL 60677-1260 · (630) 469-9200

Phone(630) 963-4570

Fax(630) 963-6239

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateMay 27, 2026

Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration

NPPES CertifiedJuly 17, 2026

✔ NPI 1982535092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209.035564

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

801 N CASS AVE STE 300, Westmont, IL 60559

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Joy Mesiona Micabalo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921570086

PECOS Enrollment IDI20260619000172

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 Mary Joy Micabalo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dupage Medical Group Ltd

3.7 mi

Multi-Specialty

1100 W 31ST ST, STE 300
Downers Grove, IL 60515

Reassigned Medicare billing, Illinois enrollment
184 clinicians in this Medicare group

NPI 1801833983 (630) 469-9200

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 60559 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 15

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

AKILAH BRITISH HYRAMS MD

Family Medicine