Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720634827 Individual Practitioner Female Practitioner

Mary Elizabeth Waterloo

Nurse Practitioner • Homewood, IL

Professional Overview & Biography Verified Profile Summary

Mary Waterloo is a registered healthcare professional specializing in Nurse Practitioner in Homewood, IL. Practice services are available at 17901 GOVERNORS HWY STE 206 under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least, initial nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

17901 Governors Hwy Ste 206

Homewood, IL 604301146

Telephone 7089604280
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Homewood, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
7 Specialists

Practicing in Homewood, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
235 115 $82.25 $35.00
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
106 106 $134.00 $69.74
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
91 61 $111.00 $64.40
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
86 81 $254.00 $115.21
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
82 45 $91.73 $35.06
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
54 36 $183.72 $64.56
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
22 22 $383.27 $114.71
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
17 17 $181.94 $69.64

Medical Specialties & State Licenses

CMS Verified: 2021-11-11
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209019819

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Yetunde Ayoade

Nurse Practitioner - Family

NPI 1144094996
NPI 1194476499

Adult-Gerontology Acute Care Nurse Practitioner

Jeffrey Intud

Nurse Practitioner - Family

NPI 1205464187
George Varghese , FNP

Nurse Practitioner - Family

NPI 1437700234

Family Nurse Practitioner

Krystal Poindexter , CNP

Nurse Practitioner - Family

NPI 1477095321

Certified Nurse Practitioner

Nicole Whitten , APRN

Nurse Practitioner

NPI 1578223921

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address November 11, 2021

Registered at 2160 S 1ST AVE, MAYWOOD, IL 601533328 (Tel: 7082169000)

NPI Profile Active August 14, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2019

Registered at 17901 GOVERNORS HWY STE 206, HOMEWOOD, IL 604301146 (Tel: 7089604280)

📍
Updated Business Mailing Address August 14, 2019

Registered at 601 S ELM ST, LOCKPORT, IL 604412629 (Tel: 8159012188)

👤
Provider Name / Credentials Updated August 14, 2019

Recorded as MARY WATERLOO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2019

Nurse Practitioner (License #209019819 in IL)

🟢
Initial NPI Registration & Enumeration August 14, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720634827
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2019
Last Update: November 11, 2021
Sole Proprietor: No

Mailing Address

2160 S 1st Ave

Maywood, IL 601533328

Phone: 7082169000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.