ANNABELLA VIDAL-RUIZ PMHNP
NPI 1063867760
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Q: What is Annabella Vidal-ruiz's NPI number?

The NPI number for Annabella Vidal-ruiz is 1063867760. It was assigned to this individual provider in the NPPES registry on May 1, 2016.

Q: What is Annabella Vidal-ruiz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since May 01, 2016PECOS EnrolledAccepts Medicare Assignment

1431 N WESTERN AVE STE 306, CHICAGO, IL 60622(312) 445-0995 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 16, 2019, Nov 7, 2016 (2 updates tracked since 2016).

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About Annabella Vidal-ruiz Pmhnp NPPES

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

ANNABELLA VIDAL-RUIZ PMHNP (NPI 1063867760) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209014250) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1063867760

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameANNABELLA VIDAL-RUIZCredential: PMHNP

Location Address1431 N WESTERN AVE STE 306Chicago, IL 60622-1775

Mailing AddressPo Box 47304Chicago, IL 60647-0005

Phone(312) 445-0995

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateMay 1, 2016

Last NPPES UpdateAugust 26, 20242 updates tracked since enumeration

NPPES CertifiedAugust 26, 2024

✔ NPI 1063867760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 209014250

1431 N WESTERN AVE STE 306, Chicago, IL 60622

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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

Annabella Vidal-ruiz Pmhnp 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 ID3375825623

PECOS Enrollment IDI20170120001270

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 6

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

129 services32 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

73 services19 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

50 services22 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

29 services13 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

24 services23 patients

Psychiatric diagnostic evaluation with medical services 90792

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60622 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 5

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

AMY CAMPBELL DNP

Nurse Practitioner (Psychiatric/Mental Health)