MARY JO MIKOTTIS (APN) – Clinical Nurse Specialist, NPI 1366787210

MARY JO MIKOTTIS (APN) is a healthcare provider. based in Elmhurst, Illinois. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold the professional credentials APN. They hold a License No. 209.008073 (IL). The NPI Number for MARY JO MIKOTTIS (APN) is 1366787210

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MARY JO MIKOTTIS (APN)
NPI
1366787210
Phone
(331) 221-0560
Address
155 E BRUSH HILL RD
Enumeration Date
4 December 2012
Last Update Date
4 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3129266146
Graduation Year
2009 (17 years ago)
PAC ID
2961639661
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20131227001252
Address ID
IL600451673LA660XXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

137 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in IL

Provider Addresses for MARY JO MIKOTTIS (APN)

  • 155 E BRUSH HILL RD

    ELMHURST, IL 601265658

    Phone: (331) 221-0560

    Fax: (331) 221-3833

    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)

CMS reports 24 Open Payments records for all available years, with a total value of $651.

Total Amount is formed as General ($651) + Research ($0) + Ownership ($0) = $651.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($194).

Total Amount

$651

General + Research + Ownership

Payments

24

Total payment records

General Amount

$651

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2013-12-27

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
I20131227001252ICertified Clinical Nurse Specialist (Cns)ILTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes6655$0
49083Drainage of fluid from abdominal cavity using imaging guidance6429$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4742$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes4039$0
View full utilization report →

Insurance plans in this area (ZIP 60126)

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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: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What unique ID ties claims to MARY JO MIKOTTIS (APN)?
NPI 1366787210 is assigned to MARY JO MIKOTTIS (APN) under the national enumeration system.
Is MARY JO MIKOTTIS (APN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MARY JO MIKOTTIS (APN) work in?
You can think of MARY JO MIKOTTIS (APN) as practicing within Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
Where is MARY JO MIKOTTIS (APN)'s primary listing?
We display Elmhurst, Illinois because that is what the record indicates for MARY JO MIKOTTIS (APN).
What if Elmhurst, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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