BERNIE M. AGUILAR – Nurse Practitioner, NPI 1902207004

BERNIE M. AGUILAR is a healthcare provider. based in Melrose park, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 041378560 (IL). The NPI Number for BERNIE M. AGUILAR is 1902207004

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
BERNIE M. AGUILAR
NPI
1902207004
Phone
(708) 406-3040
Address
1111 SUPERIOR ST
Enumeration Date
8 September 2014
Last Update Date
30 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083830113220005
Graduation Year
2014 (12 years ago)
PAC ID
8729304878
Group Practice PAC ID
1557270139
Professional Enrollment ID
I20150306001968
Address ID
IL603022606OA14XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for BERNIE M. AGUILAR

  • 1111 SUPERIOR ST

    SUITE 101

    MELROSE PARK, IL 601604138

    Phone: (708) 406-3040

    Fax: (708) 406-3059

    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)

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: 2015-03-06

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
I20150306001968INurse 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 60160)

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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: 1557270139View full group profile
NameSpecialtyState
Family PracticeIL
-IL
Clinical Social WorkerIL
Family PracticeIL
-IL
Hospitalist, Family PracticeIL
-IL
Family PracticeIL
Nurse PractitionerIL
Family PracticeMI

Reviews

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Frequently asked questions

How do payers reference BERNIE M. AGUILAR?
For BERNIE M. AGUILAR, use NPI 1902207004 as the unique 10-digit identifier.
Is BERNIE M. AGUILAR shown as active in public data?
Registry records indicate BERNIE M. AGUILAR maintains an active NPI.
What clinical focus is listed for BERNIE M. AGUILAR?
At a glance, BERNIE M. AGUILAR is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with BERNIE M. AGUILAR?
Directory geography for BERNIE M. AGUILAR centers on Melrose Park, Illinois.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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