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JADE NICOLE RODRIGUEZ APRN, FNP-BC
NPI 1154121044
Nurse Practitioner in Chicago, IL

Active since March 18, 2025PECOS Enrolled
1016 W LAKE ST, CHICAGO, IL 60607(847) 506-9767(847) 507-9769 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jade Nicole Rodriguez Aprn, Fnp-bc NPPES

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

JADE NICOLE RODRIGUEZ APRN, FNP-BC (NPI 1154121044) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209.031877) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1154121044
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJADE NICOLE RODRIGUEZCredential: APRN, FNP-BC
Location Address1016 W LAKE STChicago, IL 60607-1715
Mailing Address2364 Essington Rd Ste 146Joliet, IL 60435-1664 · (708) 336-0294
Phone(847) 506-9767
Fax(847) 507-9769
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 18, 2025
Last NPPES UpdateMarch 19, 2025
NPPES CertifiedMarch 19, 2025
✔ NPI 1154121044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209.031877
Definition
(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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 041.473064 (IL)
1016 W LAKE ST, Chicago, IL 60607
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jade Nicole Rodriguez Aprn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911402870
PECOS Enrollment IDI20250923003138
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 Reassignments

2

Medicare enrollment records show Jade Rodriguez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vital Link Physician Group PLLC
11 mi
Family Medicine
6201 W HOWARD ST
Niles, IL 60714
  • Reassigned Medicare billing, Illinois enrollment
  • 13 clinicians in this Medicare group
NPI 1679311336 (847) 774-7316
Home Visiting Doctors Medical Group LLC
24 mi
Primary Care
545 WHITE OAK RD
Bolingbrook, IL 60440
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group
NPI 1023801800 (847) 407-9676

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 60607 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.

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 Jade Rodriguez's NPI number?

The NPI number for Jade Rodriguez is 1154121044. It was assigned to this individual provider in the NPPES registry on March 18, 2025.

Where is Jade Rodriguez located?

Jade Rodriguez practices at 1016 W Lake St, Chicago, IL 60607. The listed phone number is (847) 506-9767.

What is Jade Rodriguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jade Rodriguez enrolled in Medicare?

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

Which organizations bill Medicare for Jade Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jade Rodriguez reassigns Medicare benefits to 2 organizations: Vital Link Physician Group PLLC (Niles, IL) and Home Visiting Doctors Medical Group LLC (Bolingbrook, IL). Each 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 Jade 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 Jade Rodriguez was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.