MARY PHILLIP (APN) – Nurse Practitioner, NPI 1841339207

MARY PHILLIP (APN) is a healthcare provider. based in Maywood, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209003093 (IL). The NPI Number for MARY PHILLIP (APN) is 1841339207

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MARY PHILLIP (APN)
NPI
1841339207
Phone
(708) 216-9000
Address
2160 S FIRST AVE
Enumeration Date
5 February 2007
Last Update Date
28 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7082169000
Graduation Year
1998 (28 years ago)
PAC ID
7517052335
Group Practice PAC ID
3779488903
Professional Enrollment ID
I20071009000040
Address ID
IL601533328MA2160XAVEX400

Contacts

Secure Messaging
mphillip30334@direct.luhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MARY PHILLIP (APN)

  • 2160 S FIRST AVE

    LOYOLA UNIVERSITY MEDICAL CENTER

    MAYWOOD, IL 60153

    Phone: (708) 216-9000

    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 2 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2023-06-07 • Largest payer in this snapshot: Abbott Laboratories ($48).

Total Amount

$48

General + Research + Ownership

Payments

2

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$48
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: 2007-10-09

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
I20071009000040INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes437127$0
99215Established patient office or other outpatient visit, 40-54 minutes6546$0
View full utilization report →

Insurance plans in this area (ZIP 60153)

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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: 3779488903View full group profile

Reviews

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Frequently asked questions

How do I look up MARY PHILLIP (APN) by NPI?
Use NPI 1841339207 when you need to reference MARY PHILLIP (APN) in forms, claims, or directories.
Is MARY PHILLIP (APN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MARY PHILLIP (APN) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for MARY PHILLIP (APN). Clinical services aligned with this taxonomy classification.
Where is MARY PHILLIP (APN)'s primary listing?
We display Maywood, Illinois because that is what the record indicates for MARY PHILLIP (APN).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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