MARIO MICHAEL MISSEHA – Physician Assistant, NPI 1710533807
Physician Assistant
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NPPES metrics only — not quality of care.
8,322 PHYSICIAN ASSISTANT in NC
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Provider Addresses for MARIO MICHAEL MISSEHA
Orland Square Drive, Orland Square Mall, Orland Park, Orland Township, Cook County, Illinois, 60462, United States
STE 101
ORLAND PARK, IL 604626522
Phone:
Type: Mailing
Gardner-Webb University, 110, South Main Street, Boiling Springs, Cleveland County, North Carolina, 28017, United States
BOILING SPRINGS, NC 280179797
Phone: (704) 406-4000
Type: Location
7179 Hawthorne Ln
Hanover Park, IL 601336414
Phone: (331) 425-3876
Type: Location
100 Spalding Dr Ste 300
Naperville, IL 605406553
Phone: (630) 790-1872
Fax: (630) 355-2515
Type: Location
1860 PAYSPHERE CIR
CHICAGO, IL 606740018
Phone: (630) 469-9200
Type: Mailing
100 SPALDING DR STE 300
NAPERVILLE, IL 605406553
Phone: (630) 790-1872
Fax: (630) 355-2515
Type: Location
2111 OGDEN AVE
AURORA, IL 605047597
Phone: (630) 978-3800
Fax: (630) 862-3085
Type: Mailing
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: 2020-11-24
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 |
|---|---|---|---|---|
| I20201124000769 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 28 | 25 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 19 | 17 | $0 |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | 17 | 17 | $0 |
Insurance plans in this area (ZIP 60462)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Physician Assistant | IL | |
| - | WA | |
| Physical Medicine And Rehabilitation | IA | |
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL |
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