Mary-Jennelle Guevara

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

209009523 Issued in IL

Practice address

1875 Dempster St
Suite 180
Park Ridge, IL 60068-1186

Phone

(847) 897-9010

NPI assigned

May 11, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Specialty

Nurse Practitioner

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Geri Care LTDGroup PAC ID 5991794513, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Illinois Home Health Care of Naperville Home health agency, Naperville, IL, CCN 147878

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CBGFBA
• Direct secure messaging: mguevara252024@direct.myadvocateaurora.org

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.

• Bluehealth Medical LLC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1417630229
  Medicare reassignment NPD Authorized official
• Geri Care LTD

  • Family Medicine Physician
  • Park Ridge, IL
  • NPI 1629000732
  Medicare reassignment Care Compare group NPD
• Advanced Medical Practices SC

  • Internal Medicine Physician
  • Park Ridge, IL
  • NPI 1629266788
  Medicare reassignment NPD
• Kirill Zhadovich, M.D., S.C.

  • Primary Care Clinic/Center
  • Niles, IL
  • NPI 1659556546
  Medicare reassignment NPD
• Merchant Adams LLC

  • Nurse Practitioner
  • Park Ridge, IL
  • NPI 1437731478
  Medicare reassignment NPD
• Prima Medical Practices Inc

  • Family Medicine Physician
  • Park Ridge, IL
  • NPI 1295332104
  Medicare reassignment NPD
• Top Medical Consultants PC

  • Internal Medicine Physician
  • Glenview, IL
  • NPI 1194497941
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Innovative Senior Care Home Health of Chicago, LLC

  • Home Health Agency
  • Naperville, IL
  • NPI 1851591010
  Care Compare affiliation

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1225397268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST",
            "address_2": "SUITE 180",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST",
            "address_2": "SUITE 180",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681186",
            "telephone_number": "847-897-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "MARY-JENNELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-11",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209009523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guardian Angel Home Care of Park Ridge
• Guardian Angel Home Care, Inc.
• Sandra V. Guarise, LCSW
• Mary J Guenther, MD
• Paoula J Gueorguieva, MD
• Joseph G Guidi, D.O.
• Thirumazhisai Gunasekaran
• Jia Guo, MD
• Renu Gupta, M.D.
• Suraj Amar Gupta, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.

Verify at the official NPI Registry.