Marilyn Perez, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209028648 Issued in IL

Practice address

610 N Lincoln Ave
Urbana, IL 61801-2432

Phone

(217) 383-3507

Fax

(217) 383-3171

NPI assigned

Dec 6, 2023

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mperezrn204135@carlehiedirect.net
• Direct secure messaging: marilyn.perez.p11@direct.fhn-fqhc.nextgenshare.com

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.

• Carle Health Care Incorporated

  dba Carle Physician Group

  • Internal Medicine Physician
  • Urbana, IL
  • NPI 1154653947
  Medicare reassignment NPD
• Promise Healthcare NFP

  dba Frances Nelson Health Center

  • Federally Qualified Health Center (FQHC)
  • Champaign, IL
  • NPI 1578821005
  Medicare reassignment NPD
• Promise Healthcare NFP

  dba Promise Healthcare - Ready School

  • Federally Qualified Health Center (FQHC)
  • Champaign, IL
  • NPI 1801687728
  NPD
• Promise Healthcare NFP

  dba Promise Healthcare at the USBHC

  • Federally Qualified Health Center (FQHC)
  • Urbana, IL
  • NPI 1952894180
  NPD
• Carle Health Care Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Champaign, IL
  • NPI 1114240876
  NPD (past)

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1689441099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N LINCOLN AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012432",
            "telephone_number": "217-383-3507",
            "fax_number": "217-383-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N LINCOLN AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012432",
            "telephone_number": "217-383-3507",
            "fax_number": "217-383-3171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "IL",
            "postal_code": "618012432",
            "country_code": "US",
            "telephone_number": "217-383-6555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARILYN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209028648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Pearman, PA
• Peggy D Pearson, MD
• Richard Pearson, MD
• Ryan Peddy
• Jennifer S Pemble, NNP-BC
• Miriam Perez
• Lisa Perry, MSQMHP
• Personal Performance Training & Rehabiliation, Inc.
• Persons Assuming Control of Their Environment (PACE, Inc.)
• Joyce Ojella Peter, MD

• Family Nurse Practitioner in Urbana, IL
• Providers in Urbana, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.

Verify at the official NPI Registry.