MR. PAOLO PETILLA MERCADO (APN) – Family Nurse Practitioner, NPI 1447728183
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MR. PAOLO PETILLA MERCADO (APN)
3076 NICKLAUS LN
WADSWORTH, IL 600838944
Phone: (224) 388-1215
Type: Mailing
1050 Red Oak Ln
Lindenhurst, IL 600464998
Phone: (847) 356-4746
Fax: (847) 356-4737
Type: Location
Vista Medical Center East, 1324, North Sheridan Road, Waukegan, Lake County, Illinois, 60085, United States
WAUKEGAN, IL 600852161
Phone: (847) 360-2860
Fax: (847) 625-6057
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: 2022-12-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190228000448 | I | Nurse Practitioner | IL | TBD |
| I20221213003138 | I | Nurse Practitioner | WI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 137 | 132 | $0 |
Insurance plans in this area (ZIP 60083)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Pulmonary Disease | IL | |
| Internal Medicine, Family Practice | IL | |
| Gastroenterology, Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Physician Assistant | IL | |
| Cardiac Surgery, Thoracic Surgery, Thoracic Surgery | ND | |
| Family Practice | WI | |
| Family Practice | WI |
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