Melissa Theodore, NP - Medicare Nurse Practitioner in Evanston, IL

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Melissa Theodore, NP is a medicare enrolled "Nurse Practitioner" in Evanston, Illinois. She went to Rush Medical College Of Rush University and graduated in 2010 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Clear Practice Pllc, Geri Care Ltd, Clear Practice Pllc and her current practice location is 2650 Ridge Ave, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 570-1010.

Melissa Theodore is licensed to practice in Illinois (license number 277000045) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912294083.

Contact Information

Melissa Theodore, NP
2650 Ridge Ave,
Evanston, IL 60201-1700
(847) 570-1010
(847) 733-5108

Map and Direction




Provider's Profile

Full NameMelissa Theodore
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location2650 Ridge Ave, Evanston, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Melissa Theodore attended and graduated from Rush Medical College Of Rush University in 2010
  NPI Data:
  • NPI Number: 1912294083
  • Provider Enumeration Date: 07/08/2011
  • Last Update Date: 01/14/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8729257126
  • Enrollment ID: I20110801000358

Medical Identifiers

Medical identifiers for Melissa Theodore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912294083NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 277000045 (Illinois)Secondary
363L00000XNurse Practitioner 277000045 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tec Home Health, LlcDes plaines, ILHome health agency
Osf Little Company Of Mary Medical CenterEvergreen park, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clear Practice Pllc488013785016
Geri Care Ltd599179451312
Clear Practice Pllc488013785016

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Melissa Theodore allows following entities to bill medicare on her behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NameGeri Care Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629000732
PECOS PAC ID: 5991794513
Enrollment ID: O20040510000522
Entity NameHansa Medical Groupe Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386804615
PECOS PAC ID: 5092881417
Enrollment ID: O20080909000726
Entity NameHmv Diagnostics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043460744
PECOS PAC ID: 8123172020
Enrollment ID: O20150903001057
Entity NameClear Practice Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386498319
PECOS PAC ID: 4880137850
Enrollment ID: O20240620000078

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melissa Theodore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Melissa Theodore, NP
2650 Ridge Ave Ste 1223,
Evanston, IL 60201-1700

Ph: (847) 570-2040		Melissa Theodore, NP
2650 Ridge Ave,
Evanston, IL 60201-1700

Ph: (847) 570-1010

Reviews and Comments


Nurse Practitioner Nurses in Evanston, IL

Marlene Angelico, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2650 Ridge Ave, Emergency Medicine, Rm G903c, Evanston, IL 60201
Phone: 847-570-1355    Fax: 847-570-1223
Emily Pableo Pinol, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2650 Ridge Ave, Evanston, IL 60201
Phone: 847-982-3811    
Reba Elizabeth Mathew,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 500 Asbury Ave # 316-3320, Evanston, IL 60202
Phone: 847-316-3320    
Mrs. Monika Marrero, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2650 Ridge Ave, Evanston, IL 60201
Phone: 847-425-6400    
Holly Rene, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2650 Ridge Ave, Evanston, IL 60201
Phone: 847-570-1027    
Manijeh Ghafouri,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3333 Central St, Evanston, IL 60201
Phone: 847-869-3800    
Regina Munoz, APN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Central St Ste 610, Evanston, IL 60201
Phone: 847-570-1029    Fax: 847-733-5318

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.