Individual provider Active NPI

Marina Aurelio Estrella, FNP

  • Nurse Practitioner
  • Gurnee, IL
National Provider Identifier
1154010353
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209027706 Issued in IL
Practice address
4017 Old Grand Ave
Gurnee, IL 60031-2848
Phone
(224) 946-6859
NPI assigned
May 3, 2023
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209027706 IL Primary

Addresses

Primary practice location

4017 Old Grand Ave
Gurnee, IL 60031-2848

Mailing address

4017 Old Grand Ave
Gurnee, IL 60031-2848
Phone (224) 946-6859

Other practice location 1

2504 Washington St Ste 401C
Waukegan, IL 60085-4960
Phone (224) 946-6859

Other names 1

  • Marina Carbonel Aurelio Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250306001784 IL Practitioner - Nurse Practitioner 6204063696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2504 Washington St
Suite 401C
Waukegan, IL 60085-4960
Phone (224) 946-6859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209027706ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Star Healthcare Inc Nurse Practitioner CurrentSince Jan 1, 2025 Accepting new patients
Mainstay Clinics Inc Nurse Practitioner PastSince Jan 1, 2025 Accepting new patients

Locations

2504 Washington St
Ste 401C
Waukegan, IL 60085
Phone (224) 864-2124

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1154010353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 OLD GRAND AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312848",
            "telephone_number": "224-946-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 OLD GRAND AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312848",
            "telephone_number": "224-946-6859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2504 Washington St Ste 401C",
            "address_purpose": "LOCATION",
            "city": "Waukegan",
            "state": "IL",
            "postal_code": "600854960",
            "country_code": "US",
            "telephone_number": "224-946-6859",
            "fax_number": "224-298-0460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTRELLA",
        "first_name": "MARINA",
        "middle_name": "AURELIO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209027706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARINA",
            "last_name": "AURELIO",
            "middle_name": "CARBONEL",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.