MARY-JENNELLE GUEVARA NPI 1225397268

NPI Information

  • NPI: 1225397268
  • Provider Name: MARY-JENNELLE GUEVARA
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1875 DEMPSTER ST
    SUITE 180
    PARK RIDGE, IL
    ZIP 60068
  • Phone: (847) 897-9010

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NPI Details

Mary-jennelle Guevara is an acute care nurse practitioner in Park Ridge, IL with 15 years of experience. Mary-jennelle Guevara NPI is 1225397268. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:2011

The provider's business location address is:

1875 DEMPSTER ST
SUITE 180
PARK RIDGE, IL
ZIP 60068-186
Phone: (847) 897-9010

The NPI 1225397268 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)
  • Electrocardiogram (ecg) 2-day continuous with review by health care professional (HCPCS:93227)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

The enumeration date for this NPI number is 5/11/2012 and was last updated on 2/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care209009523ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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