Marlene Varnavas, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209024458 Issued in IL

Practice address

1600 Dempster St Ste 120
Park Ridge, IL 60068-1171

Phone

(847) 299-7888

NPI assigned

Jan 18, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Geri Care LTD

  • Family Medicine Physician
  • Park Ridge, IL
  • NPI 1629000732
  Medicare reassignment NPD
• Nuance Health and Wellness Medical Spa

  • Health Service Clinic/Center
  • Northbrook, IL
  • NPI 1306537956
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1013669373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 N KILBOURN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123435",
            "telephone_number": "734-264-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DEMPSTER ST STE 120",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681171",
            "telephone_number": "847-299-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARNAVAS",
        "first_name": "MARLENE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "F10210892",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209024458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Vander Ploeg
• Emily Vanella, LCSW
• Brian G Vanmeurs, PHD
• Cynthia Vargas Mireles, LSW
• Christina Vargas, LCSW
• Leah Mary Varughis, LPC
• Nicole Varvarezos, LSW
• Vascular Diagnostics, LTD
• Brett Joseph Vassallo, M.D.
• Linda Vassmer, MD

• Nurse Practitioner in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.