Mary Joy Mesiona Micabalo

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209.035564 Issued in IL

Practice address

801 N Cass Ave Ste 300
Westmont, IL 60559-1193

Phone

(630) 963-4570

Fax

(630) 963-6239

NPI assigned

May 27, 2026

Last updated

Jul 17, 2026By the provider in NPPES

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

Electronic endpoints 1

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

Other, 2026

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1982535092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N CASS AVE STE 300",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591193",
            "telephone_number": "630-963-4570",
            "fax_number": "630-963-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICABALO",
        "first_name": "MARY JOY",
        "middle_name": "MESIONA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.035564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmicabalo378897@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "801 N Cass Ave Ste 300",
            "city": "Westmont",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605591193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Annmarie Mendez, MA
• Naana Mensah, DDS
• Kimberly J Mercurio, M.D.
• Diane Meyer, DDS
• Sheniquia Mhoon, CCC-SLP
• Midwest Express Care 2, Inc (Midwest Express Clinic)
• Midwest Surgical Assistants LLC
• Mihevc Counseling PLLC
• Caitlin Kelly Miller
• Dianna Lynn Miller, LCPC,CRADC,LMHC,LCAC

• Nurse Practitioner in Westmont, IL
• Providers in Westmont, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.