Active NPI
Julie Marie Marusarz, N.P
- Acute Care Nurse Practitioner
- Chicago, IL
National Provider Identifier
1457632259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 209008752
- Practice address
- 1653 W Congress Pkwy
Suite 315
Chicago, IL 60612 - Phone
- (312) 947-3376
- NPI assigned
- Sep 7, 2011
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 209008752 | IL | Primary |
Addresses
Primary practice location
1653 W Congress Pkwy
Suite 315
Chicago, IL 60612
Mailing address
1653 W. Congress Pkwy
Chicago, IL 60612
Phone (312) 947-3376
Other names 1
- Ms. Julie Marie Krygeris
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160601001025 | IL | Order and Referring Only - Nurse Practitioner | 0840580007 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- jmarusarz9636@direct.rush.rush-health.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1457632259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1653 W. CONGRESS PKWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-947-3376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1653 W CONGRESS PKWY",
"address_2": "SUITE 315",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-947-3376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARUSARZ",
"first_name": "JULIE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "N.P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-07",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "209008752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "KRYGERIS",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "N.P",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 6, 2013; 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.