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Active NPI 1780175380 Individual Practitioner Female Practitioner

Ma Vanessa S Mabazza , APRN, NP-C, AGPCNP-BC

Nurse Practitioner • Sycamore, IL

Professional Overview & Biography Verified Profile Summary

Ma Vanessa Mabazza, APRN, NP-C, AGPCNP-BC is a registered healthcare professional specializing in Nurse Practitioner in Sycamore, IL. Practice services are available at 2550 HAUSER ROSS DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2550 Hauser Ross Drive
Suite 350

Sycamore, IL 60178

Telephone 8157587700
Fax 8157566103
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Sycamore, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.1 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
29 Specialists

Practicing in Sycamore, IL (4929 Statewide)

Telehealth Adoption Rate
27.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-12-15
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209017671

(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.

Secondary Practice Locations

500 N Mclean Blvd Ste 100

Elgin, IL 601233275

Phone: 2245359922

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Paul Nguyen , MD

Internal Medicine - Cardiovascular Disease

NPI 1023017019

Doctor of Medicine (M.D.)

Angela Vega , APRN

Nurse Practitioner

NPI 1285423830

Advanced Practice Registered Nurse

Magdalena Boba , MS, ANP-BC

Nurse Practitioner - Adult Health

NPI 1356632475

Master of Science, ANPBC

Sonya Ristine , FNP-BC

Nurse Practitioner

NPI 1811764434

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address December 15, 2021

Registered at 2550 HAUSER ROSS DR STE 350, SYCAMORE, IL 601783181 (Tel: 8157587700)

NPI Profile Active June 06, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2018

Registered at 2550 HAUSER ROSS DRIVE, SUITE 350, SYCAMORE, IL 60178 (Tel: 8157587700)

📍
Updated Business Mailing Address June 06, 2018

Registered at 2550 HAUSER ROSS DRIVE, SUITE 350, SYCAMORE, IL 60178 (Tel: 8157587700)

👤
Provider Name / Credentials Updated June 06, 2018

Recorded as MA VANESSA MABAZZA, APRN,NP-C,AGPCNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2018

Nurse Practitioner (License #209017671 in IL)

🟢
Initial NPI Registration & Enumeration May 21, 2018

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: 1780175380
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2018
Last Update: December 15, 2021
Sole Proprietor: No

Mailing Address

2550 Hauser Ross Dr Ste 350

Sycamore, IL 601783181

Phone: 8157587700

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.