MARISA REYES – Family Nurse Practitioner, NPI 1568997369
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MARISA REYES
PO BOX 746721
ATLANTA, GA 303746721
Phone: (312) 733-9730
Fax: (773) 866-8014
Type: Mailing
3046 127TH ST
BLUE ISLAND, IL 604061827
Phone: (708) 377-7920
Fax: (708) 930-0414
Type: Location
11107, South Leamington Avenue, Hazel Green, Alsip, Worth Township, Cook County, Illinois, 60803, United States
ALSIP, IL 608036026
Phone: (773) 563-1128
Type: Mailing
6240, West 55th Street, Garfield Ridge, Chicago, Lake Township, Cook County, Illinois, 60638, United States
CHICAGO, IL 606382531
Phone: (773) 284-2200
Fax: (773) 284-5833
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $44.
Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: AIMMUNE THERAPEUTICS, INC. ($44).
Total Amount
$44
General + Research + Ownership
Payments
3
Total payment records
General Amount
$44
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AIMMUNE THERAPEUTICS, INC. | $44 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-09-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170911001293 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Internal Medicine | IL | |
| Physician Assistant | IL | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Infectious Disease, Internal Medicine | IL | |
| - | IL | |
| Family Practice | IL |
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