Active NPI
Mayson Lyn Marcy, PA-C
- Physician Assistant
- Chicago, IL
National Provider Identifier
1134828221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085011338
- Practice address
- 2418 N Ashland Ave
Chicago, IL 60614-2021 - Phone
- (773) 900-8330
- Fax
- (312) 761-1855
- NPI assigned
- Feb 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085011338 | IL | Primary |
Addresses
Primary practice location
2418 N Ashland Ave
Chicago, IL 60614-2021
Mailing address
868 N Wells St Apt 903
Chicago, IL 60610-3675
Phone (615) 440-1283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2400 N Ashland
Chicago, IL 60614
2418 N Ashland
Chicago, IL 60614
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.88 of 100
- Quality
- 71.04
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Medspa PLLC | Current | Accepting new patients |
Locations
2418 N Ashland Ave
Chicago, IL 60614
Phone (773) 270-5600
Interoperability endpoints
- mayson.marcy.1@13676.direct.athenahealth.com
- mayson.marcy@krogerhealth.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1114397056
-
- Family Nurse Practitioner
- White House, TN
- NPI 1487848800
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1538909544
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1134828221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "868 N WELLS ST APT 903",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606103675",
"telephone_number": "615-440-1283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2418 N ASHLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606142021",
"telephone_number": "773-900-8330",
"fax_number": "312-761-1855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCY",
"first_name": "MAYSON",
"middle_name": "LYN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-27",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085011338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.