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MRS. VIRGINIA BAHENA FNP-BC, PMHNP-BC
NPI 1992411987
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since January 24, 2023PECOS EnrolledAccepts Medicare Assignment
5747 W FULLERTON AVE, CHICAGO, IL 60639(773) 413-7264(773) 413-7013 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 8, 2024, Aug 14, 2023, Jan 24, 2023 (3 updates tracked since 2023).

About Mrs. Virginia Bahena Fnp-bc, Pmhnp-bc NPPES

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

MRS. VIRGINIA BAHENA FNP-BC, PMHNP-BC (NPI 1992411987) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (2023019943) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1992411987
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. VIRGINIA BAHENACredential: FNP-BC, PMHNP-BC
Location Address5747 W FULLERTON AVEChicago, IL 60639-2353
Mailing Address5747 W Fullerton AveChicago, IL 60639-2353 · (773) 413-7264 · Fax (773) 413-7013
Phone(773) 413-7264
Fax(773) 413-7013
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 24, 2023
Last NPPES UpdateMay 8, 20243 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
✔ NPI 1992411987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 2023019943
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209025213 (IL)
5747 W FULLERTON AVE, Chicago, IL 60639
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Mrs. Virginia Bahena Fnp-bc, Pmhnp-bc 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 ID2264887488
PECOS Enrollment IDI20231009000985
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

2

Medicare enrollment records show Virginia Bahena reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vida Health Wellness, PLLC
Same address
Psychiatric/Mental Health
5747 W FULLERTON AVE
Chicago, IL 60639
  • Reassigned Medicare billing, Illinois enrollment
NPI 1720851413 (773) 413-7264
Elemental Care - Health & Wellness Center, LLC
30 mi
Family
20660 CATON FARM RD UNIT F
Crest Hill, IL 60403
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1568908739 (815) 714-5430

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 60639 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

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

VIDA HEALTH WELLNESS, PLLC
Nurse Practitioner (Psychiatric/Mental Health)
5747 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 413-7264

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 Virginia Bahena's NPI number?

The NPI number for Virginia Bahena is 1992411987. It was assigned to this individual provider in the NPPES registry on January 24, 2023.

Where is Virginia Bahena located?

Virginia Bahena practices at 5747 W Fullerton Ave, Chicago, IL 60639. The listed phone number is (773) 413-7264.

What is Virginia Bahena's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Virginia Bahena enrolled in Medicare?

Yes. Virginia Bahena 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 Virginia Bahena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Virginia Bahena reassigns Medicare benefits to 2 organizations: Vida Health Wellness, PLLC (Chicago, IL) and Elemental Care - Health & Wellness Center, LLC (Crest Hill, 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 Virginia Bahena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Virginia Bahena accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Virginia Bahena 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 Virginia Bahena was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.