JOSI MARIE NINO (SLP) – Speech-Language Pathologist, NPI 1083915672

JOSI MARIE NINO (SLP) is a healthcare provider. based in Downers grove, Illinois. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials SLP. They hold a License No. 146006939 (IL). The NPI Number for JOSI MARIE NINO (SLP) is 1083915672

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
JOSI MARIE NINO (SLP)
NPI
1083915672
Phone
(630) 981-0032
Address
5207 MAIN ST
Enumeration Date
12 November 2010
Last Update Date
12 November 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7084434217
Graduation Year
2001 (25 years ago)
PAC ID
0042494775
Group Practice PAC ID
8921230137
Professional Enrollment ID
I20110405000325
Address ID
IL605461851NO2800XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

446 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in IL

Provider Addresses for JOSI MARIE NINO (SLP)

  • 5207 MAIN ST

    STE 5

    DOWNERS GROVE, IL 605154652

    Phone: (630) 981-0032

    Fax: (630) 241-0884

    Mailing address matches the actual address.

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: 2011-04-05

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
I20110405000325IQualified Speech Language PathologistILTBD

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

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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 60515)

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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: 8921230137View full group profile

Reviews

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Frequently asked questions

Is there an official ID for JOSI MARIE NINO (SLP) in U.S. healthcare records?
The official identifier for JOSI MARIE NINO (SLP) is NPI 1083915672.
Would JOSI MARIE NINO (SLP) appear as active to a payer?
You can treat JOSI MARIE NINO (SLP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JOSI MARIE NINO (SLP)?
JOSI MARIE NINO (SLP) is associated with Speech-Language Pathologist in the directory — Clinical services aligned with this taxonomy classification.
Is JOSI MARIE NINO (SLP) located near Downers Grove?
JOSI MARIE NINO (SLP) currently maps to Downers Grove, Illinois in this extract.
When was this NPI issued?
Enumeration for JOSI MARIE NINO (SLP) is noted as November 12, 2010 where the registry provides it.

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