Individual provider Active NPI

Merissa Michelle McAfee

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1821853862
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085010287 Issued in IL
Practice address
2335 W Fullerton Ave Ste B
Chicago, IL 60647-3225
Phone
(312) 300-3882
NPI assigned
Feb 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085010287 IL Primary

Addresses

Primary practice location

2335 W Fullerton Ave Ste B
Chicago, IL 60647-3225

Mailing address

2335 W Fullerton Ave Ste B
Chicago, IL 60647-3225
Phone (312) 300-3882

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
I20240916001353 IL Practitioner - Physician Assistant 7012458243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkview Orthopaedic Group S CGroup PAC ID 9335134691, 31 clinicians

Practice addresses (Care Compare)

7600 W College Dr
Palos Heights, IL 60463-1001
Phone (708) 361-0880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085010287ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Orthopaedic Group S C CurrentSince Aug 4, 2024 Accepting new patients
Parkview Orthopaedic Group S C CurrentSince Aug 4, 2024 Accepting new patients

Locations

688 Cedar Crossings Dr
New Lenox, IL 60451
Phone (815) 727-3030

7600 W College Dr
Palos Heights, IL 60463
Phone (708) 361-0600

7600 W College Dr
Ste 3
Palos Heights, IL 60463
Phone (708) 361-0600

Interoperability endpoints

  • Direct secure messaging: merissa.mcafee.p1@direct.parkviewortho.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1821853862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 W FULLERTON AVE STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473225",
            "telephone_number": "312-300-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 W FULLERTON AVE STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473225",
            "telephone_number": "312-300-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAFEE",
        "first_name": "MERISSA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085010287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.