REX RIZALDO APRN
NPI 1053022202
Nurse Practitioner - Critical Care Medicine in Springfield, IL

Q: What is Rex Rizaldo's NPI number?

The NPI number for Rex Rizaldo is 1053022202. It was assigned to this individual provider in the NPPES registry on December 8, 2022.

Q: What is Rex Rizaldo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Q: When was this NPI record last updated?

The NPPES record for Rex Rizaldo was last updated on July 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 08, 2022PECOS EnrolledAccepts Medicare Assignment

619 E MASON ST STE 4P57, SPRINGFIELD, IL 62701(217) 788-0706(217) 525-2535 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2024, Jun 19, 2024, Mar 13, 2023 and 1 more (4 updates tracked since 2022).

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About Rex Rizaldo Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REX RIZALDO APRN (NPI 1053022202) is an individual critical care medicine provider in Springfield, Illinois, licensed in Illinois (209026502) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1053022202

Entity TypeIndividualMale

Primary Taxonomy363LC0200X

Provider Legal NameREX RIZALDOCredential: APRN

Location Address619 E MASON ST STE 4P57Springfield, IL 62701-1034

Mailing Address619 E Mason St Ste 4p57Springfield, IL 62701-1034 · (217) 788-0706 · Fax (217) 525-2535

Phone(217) 788-0706

Fax(217) 525-2535

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateDecember 8, 2022

Last NPPES UpdateJuly 14, 20254 updates tracked since enumeration

NPPES CertifiedJuly 14, 2025

✔ NPI 1053022202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LC0200X

License✔ Licensed in IL · 209026502

Also ListedNurse PractitionerTaxonomy 363L00000X · License 209.026502 (IL)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 209.026502 (IL)

619 E MASON ST STE 4P57, Springfield, IL 62701

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Secondary Practice Location 1

Location 1701 N 1st StSpringfield, IL 62781-0001 · Phone (217) 788-3000 · Fax (217) 606-3057

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rex Rizaldo Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557732963

PECOS Enrollment IDI20230123002080

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

41 services38 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

24 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Johns Hospital

Acute Care Hospitals · Springfield, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140053

Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEETENDRA B PATEL M.D.

Internal Medicine (Interventional Cardiology)