DAISY LAUREANO – Family Nurse Practitioner, NPI 1508632886

DAISY LAUREANO is a healthcare provider. based in Berwyn, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209.028502 (IL). The NPI Number for DAISY LAUREANO is 1508632886

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
DAISY LAUREANO
NPI
1508632886
Phone
(708) 856-7187
Address
7019 29TH PL
Enumeration Date
28 November 2023
Last Update Date
1 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7732541400
Graduation Year
2023 (3 years ago)
PAC ID
5890291058
Group Practice PAC ID
5698840924
Professional Enrollment ID
I20251006002027
Address ID
IL606084511CH966XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for DAISY LAUREANO

  • 7019 29TH PL

    BERWYN, IL 604022941

    Phone: (708) 856-7187

    Type: Mailing

  • 2355 S WESTERN AVE

    CHICAGO, IL 606083837

    Phone: (773) 254-1400

    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: 2025-10-06

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
I20251006002027INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60402)

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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: 5698840924View full group profile
NameSpecialtyState
Family PracticeIL
Physician AssistantIL
Certified Nurse Midwife (Cnm)IL
Family PracticeIL
Family PracticeIL
U R O L O G YIL
Nurse PractitionerIL
Nurse PractitionerIL
-IL
Mental Health CounselorIL

Reviews

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Frequently asked questions

How do I look up DAISY LAUREANO by NPI?
Use NPI 1508632886 when you need to reference DAISY LAUREANO in forms, claims, or directories.
Is DAISY LAUREANO's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DAISY LAUREANO's specialty in plain language?
Clinically, the directory lists DAISY LAUREANO with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place DAISY LAUREANO?
The snapshot lists Berwyn, Illinois for DAISY LAUREANO; download NPPES for the complete set.
How can I contact DAISY LAUREANO?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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