ROSE A. KUTILEK FNP-BC
NPI 1194980664
Nurse Practitioner - Family in Springfield, IL

Q: What is Rose Kutilek's NPI number?

The NPI number for Rose Kutilek is 1194980664. It was assigned to this individual provider in the NPPES registry on July 24, 2008.

Q: What is Rose Kutilek's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rose Kutilek was last updated on January 25, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 24, 2008PECOS Enrolled

747 N RUTLEDGE ST, SUITE 2204, SPRINGFIELD, IL 62702(217) 525-2500(217) 525-9374 Get Directions Write a Review

NPPES record last updated: January 25, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Rose A. Kutilek Fnp-bc NPPES

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

ROSE A. KUTILEK FNP-BC (NPI 1194980664) is an individual family provider in Springfield, Illinois, licensed in Illinois (209007153) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194980664

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameROSE A. KUTILEKCredential: FNP-BC

Location Address747 N RUTLEDGE ST, SUITE 2204Springfield, IL 62702-6700

Mailing Address747 N Rutledge St, Suite 2204Springfield, IL 62702-6700 · (217) 525-2500 · Fax (217) 525-9374

Phone(217) 525-2500

Fax(217) 525-9374

Sole ProprietorNo

Enumeration DateJuly 24, 2008

Last NPPES UpdateJanuary 25, 2010

✔ NPI 1194980664 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 · 209007153

747 N RUTLEDGE ST, Springfield, IL 62702

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rose A. Kutilek Fnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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.