Individual provider Active NPI

Mary Joyce L. Ventocilla, MSN, FNP-BC

  • Nurse Practitioner
  • McHenry, IL
National Provider Identifier
1649783143
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209016350 Issued in IL
Practice address
4309 W Medical Center Dr
Suite B202
McHenry, IL 60050-8417
Phone
(847) 535-6083
Fax
(815) 455-2789
NPI assigned
Nov 7, 2017
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.016350 IL
Nurse Practitioner 363L00000X 209016350 IL Primary

Addresses

Primary practice location

4309 W Medical Center Dr
Suite B202
McHenry, IL 60050-8417

Mailing address

4309 W Medical Center Dr Ste B202
McHenry, IL 60050-8417
Phone (847) 535-6083

Other names 1

  • Mary Joyce A Lagatao Other 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
I20180202000121 IL Practitioner - Nurse Practitioner 4486914843 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1275 E Belvidere Rd
Suite 250
Grayslake, IL 60030-2084
Phone (847) 535-7057

1475 E Belvidere Rd
Grayslake, IL 60030-2012

4309 W Medical Ctr Dr
Suite A201
McHenry, IL 60050-8411
Phone (815) 759-8070

515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870

660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209016350ILMDNurse Practitioner
209.016350ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Oct 10, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Oct 10, 2024 Accepting new patients
Cimpar, S.C. CurrentSince Jan 8, 2018 Accepting new patients
Gi Partners of Illinois, PLLC CurrentSince Sep 1, 2021 Accepting new patients
Central Dupage Physician Group Past Accepting new patients
Cimpar Consulting, LLC Past Accepting new patients

Locations

1465 Commerce Dr
Algonquin, IL 60102
Phone (847) 802-7090

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

22285 N Pepper Rd
Ste 311
Lake Barrington, IL 60010
Phone (847) 382-4410

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

1880 W Winchester Rd
Ste 201
Libertyville, IL 60048
Phone (847) 247-0187

4309 W Medical Center Dr
Ste B202
McHenry, IL 60050
Phone (815) 344-3900

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

101 Madison St
Ste 3
Oak Park, IL 60302
Phone (707) 486-2700

101 Madison St
Ste 300
Oak Park, IL 60302
Phone (773) 849-9406

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1649783143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR STE B202",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508417",
            "telephone_number": "847-535-6083",
            "fax_number": "815-455-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR",
            "address_2": "SUITE B202",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508417",
            "telephone_number": "847-535-6083",
            "fax_number": "815-455-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTOCILLA",
        "first_name": "MARY JOYCE",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.016350",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209016350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY JOYCE",
            "last_name": "LAGATAO",
            "middle_name": "A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.