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IVORY S RODRIGUEZ APRN
NPI 1063262491
Nurse Practitioner - Family in Riverwoods, IL

Active since March 26, 2024PECOS Enrolled
2300 WOODLAND LN N, RIVERWOODS, IL 60015(312) 593-2953 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ivory S Rodriguez Aprn NPPES

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

IVORY S RODRIGUEZ APRN (NPI 1063262491) is an individual family provider in Riverwoods, Illinois, licensed in Illinois (209.029477) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1063262491
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameIVORY S RODRIGUEZCredential: APRN
Location Address2300 WOODLAND LN NRiverwoods, IL 60015-1433
Mailing Address3105 N Nordica AveChicago, IL 60634-4523 · (312) 459-3875
Phone(312) 593-2953
Sole ProprietorYes
Enumeration DateMarch 26, 2024
Last NPPES UpdateApril 7, 2026
NPPES CertifiedApril 7, 2026
✔ NPI 1063262491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.029477
2300 WOODLAND LN N, Riverwoods, IL 60015
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Secondary Practice Location 1

Location 13105 N Nordica AveChicago, IL 60634-4523 · Phone (312) 459-3875

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivory S Rodriguez Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Ivory Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Serenity Health Group PLLC
Same address
Primary Care
2300 WOODLAND LN N
Riverwoods, IL 60015
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1578373163 (312) 593-2953

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60015 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Other Providers at the Same Location NPPES 3

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

LAUREN KOSHABA FNP-C
Nurse Practitioner
2300 WOODLAND LN N
RIVERWOODS, IL 60015
Lake County (312) 593-2953
SERENITY HEALTH GROUP PLLC
Nurse Practitioner (Primary Care)
2300 WOODLAND LN N
RIVERWOODS, IL 60015
Lake County (312) 593-2953
JESSICA QUEZADA FNP
Nurse Practitioner
2300 WOODLAND LN N
RIVERWOODS, IL 60015
Lake County (312) 593-2953

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivory Rodriguez's NPI number?

The NPI number for Ivory Rodriguez is 1063262491. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Ivory Rodriguez located?

Ivory Rodriguez practices at 2300 Woodland Ln N, Riverwoods, IL 60015. The listed phone number is (312) 593-2953.

What is Ivory Rodriguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ivory Rodriguez enrolled in Medicare?

Yes. Ivory Rodriguez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ivory Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivory Rodriguez reassigns Medicare benefits to Serenity Health Group PLLC (Riverwoods, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ivory Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ivory Rodriguez was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.