1. Home
  2. Directory
  3. Illinois
  4. Springfield
  5. Nurse Practitioner
  6. NPI Profile

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

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: November 01, 2026.

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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Trusted Primary Care
1,410 mi
Family Medicine
4131 UNIVERSITY CENTER DR
Las Vegas, NV 89119
  • Reassigned Medicare billing, Nevada enrollment
  • Medicare enrollment name: Nathan Adelson Hospice Inc
  • 22 clinicians in this Medicare group
NPI 1114509809 (702) 796-3112

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 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.

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.

JILLIAN HENRY M.D.
Obstetrics & Gynecology
747 N RUTLEDGE ST, 2ND FLOOR
SPRINGFIELD, IL 62702
Sangamon County (217) 757-7932
FRANCES TANGHERLINI LEE M.D.
Surgery
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
HEALTHCARE NETWORK ASSOCIATES
Obstetrics & Gynecology
747 N RUTLEDGE ST, BAYLIS BUILDING, 2ND FLOOR
SPRINGFIELD, IL 62702
Sangamon County (217) 757-7932
MICHAEL HYUN-OOK KIM MD
Internal Medicine (Cardiovascular Disease)
747 N RUTLEDGE ST, 5TH FLOOR
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
MELINDA K ISAACS RPH
Pharmacist
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Sangamon County (217) 523-0846
DR. MOHAMED RAFA LABEDI MD
Internal Medicine (Cardiovascular Disease)
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
SARA KEBEDE MD, MSCR
Plastic Surgery
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-6112
DR. KATIE MCGLONE MD
Plastic Surgery
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-6112

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 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.

Where is Rose Kutilek located?

Rose Kutilek practices at 747 N Rutledge St Suite 2204, Springfield, IL 62702. The listed phone number is (217) 525-2500.

What is Rose Kutilek's specialty?

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

Is Rose Kutilek enrolled in Medicare?

Yes. Rose Kutilek is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rose Kutilek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rose Kutilek reassigns Medicare benefits to Trusted Primary Care (Las Vegas, NV). 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 Rose Kutilek'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 Rose Kutilek was last updated on January 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.