MARISSA LIVERIS (PA-C) – Physician Assistant, NPI 1255766531
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for MARISSA LIVERIS (PA-C)
240 E HURON ST STE 1-200
CHICAGO, IL 606112909
Phone: (312) 503-3576
Type: Mailing
3825 HIGHLAND AVE STE 2B
DOWNERS GROVE, IL 605151548
Phone: (224) 715-7485
Fax: (630) 852-4050
Type: Location
122 GILLICK
PARK RIDGE, IL 600684928
Phone: (224) 715-7485
Fax: (847) 998-8584
Type: Mailing
2401 RAVINE WAY
SUITE 302
GLENVIEW, IL 600257645
Phone: (224) 715-7485
Fax: (847) 998-9594
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: 2014-11-25
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 |
|---|---|---|---|---|
| I20141125000872 | I | Physician Assistant | 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 60611)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A L L E R G Y/ I M M U N O L O G Y | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Pediatric Medicine | NY | |
| - | IL |
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