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CONSUELO FUENTES CPNP
NPI 1265712947
Nurse Practitioner - Pediatrics in Chicago, IL

Active since August 25, 2011PECOS Enrolled
2211 N OAK PARK AVE, CHICAGO, IL 60707(773) 622-5400 Get Directions Write a Review

NPPES record last updated: March 5, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Consuelo Fuentes Cpnp NPPES

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

CONSUELO FUENTES CPNP (NPI 1265712947) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (209008706) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265712947
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameCONSUELO FUENTESCredential: CPNP
Location Address2211 N OAK PARK AVEChicago, IL 60707-3351
Mailing AddressShriners Hospital For Children Chicago, Po Box 8500 Lockbox 7642Philadelphia, PA 19178-7642 · (813) 281-8115 · Fax (813) 281-8656
Phone(773) 622-5400
Sole ProprietorNo
Enumeration DateAugust 25, 2011
Last NPPES UpdateMarch 5, 2013
✔ NPI 1265712947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in IL · 209008706
2211 N OAK PARK AVE, Chicago, IL 60707
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Consuelo Fuentes Cpnp 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 Consuelo Fuentes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shriners Hospitals For Children
Same address
Anesthesiology
2211 N OAK PARK AVE
Chicago, IL 60707
  • Reassigned Medicare billing, Illinois enrollment
  • 99 clinicians in this Medicare group
NPI 1326536574 (773) 622-3351

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 60707 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 20

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

KATRINA MARIE VOGEL PA-C
Physician Assistant
2211 N OAK PARK AVE
CHICAGO, IL 60707
Cook County (773) 622-5400
DR. DAVID JOSEPH UBOGY M.D., M.A.
Pediatrics (Pediatric Critical Care Medicine)
2211 N OAK PARK AVE
CHICAGO, IL 60707
Cook County (773) 622-5400
VICTORIA JOANNA BORRELLI PA-C
Physician Assistant
2211 N OAK PARK AVE
CHICAGO, IL 60707
Cook County (773) 622-5400
LISA ANN PLACZKOWSKI DPT
Physical Therapist
2211 N OAK PARK AVE
CHICAGO, IL 60707
Cook County (773) 385-5874
DR. KYLE CRESSY DEANE PHD
Psychologist (Clinical)
2211 N OAK PARK AVE
CHICAGO, IL 60707
Cook County (773) 385-5865
EMILY MARY THOMAS OTR/L
Occupational Therapist
2211 N OAK PARK AVE
CHICAGO, IL 60707
Cook County (773) 385-5876
MS. RACHEL BETH GALANT OTR
Occupational Therapist (Pediatrics)
2211 N OAK PARK AVE
CHICAGO, IL 60707
Cook County (773) 385-5573
DAVID M. JONES
Orthotic Fitter
2211 N OAK PARK AVE
CHICAGO, IL 60707
Cook County (773) 466-6922

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 Consuelo Fuentes's NPI number?

The NPI number for Consuelo Fuentes is 1265712947. It was assigned to this individual provider in the NPPES registry on August 25, 2011.

Where is Consuelo Fuentes located?

Consuelo Fuentes practices at 2211 N Oak Park Ave, Chicago, IL 60707. The listed phone number is (773) 622-5400.

What is Consuelo Fuentes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Consuelo Fuentes enrolled in Medicare?

Yes. Consuelo Fuentes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Consuelo Fuentes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Consuelo Fuentes reassigns Medicare benefits to Shriners Hospitals For Children (Chicago, 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 Consuelo Fuentes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Consuelo Fuentes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and AmeriHealth Caritas Next list Consuelo Fuentes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Consuelo Fuentes was last updated on March 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.