ROSS MAMARIL (FNP) – Family Nurse Practitioner, NPI 1043845027

ROSS MAMARIL (FNP) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 209.020575 (IL). The NPI Number for ROSS MAMARIL (FNP) is 1043845027

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
ROSS MAMARIL (FNP)
NPI
1043845027
Phone
(847) 235-6130
Address
5132 N ELSTON AVE
Enumeration Date
10 March 2020
Last Update Date
10 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8476796100
Graduation Year
2019 (7 years ago)
PAC ID
6002244159
Group Practice PAC ID
6901103647
Professional Enrollment ID
I20200324000620
Address ID
IL600773542SK5050XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for ROSS MAMARIL (FNP)

  • 5132 N ELSTON AVE

    CHICAGO, IL 606302429

    Phone: (847) 235-6130

    Fax: (847) 235-6135

    Type: Mailing

  • 4815 S WESTERN BLVD

    CHICAGO, IL 606094067

    Phone: (773) 927-4200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-03-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200324000620INurse PractitionerILTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,061413$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes508264$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes144144$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 60630)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901103647View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerMO
Nurse PractitionerWI
Nurse PractitionerIL
-IL
Nurse PractitionerIL
Nurse PractitionerIL
-MO

Reviews

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Frequently asked questions

How is ROSS MAMARIL (FNP) identified in CMS data?
CMS-hosted NPPES data lists ROSS MAMARIL (FNP) with NPI 1043845027.
Can I rely on ROSS MAMARIL (FNP) being an active provider?
As of the registry snapshot, ROSS MAMARIL (FNP) is marked active.
What healthcare role does ROSS MAMARIL (FNP) hold?
Scheduling teams often label ROSS MAMARIL (FNP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for ROSS MAMARIL (FNP)?
ROSS MAMARIL (FNP)'s geographic hint is Chicago, Illinois in our summary view.
Is the information about ROSS MAMARIL (FNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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