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MS. RUMYANA G KROULEVA APN
NPI 1295274165
Nurse Practitioner in Lake Barrington, IL

Active since February 13, 2017PECOS EnrolledAccepts Medicare Assignment
22285 N PEPPER RD, SUITE #401, LAKE BARRINGTON, IL 60010(847) 882-6604(847) 882-6228 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2021, Feb 13, 2017 (2 updates tracked since 2017).

About Ms. Rumyana G Krouleva Apn NPPES

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

MS. RUMYANA G KROULEVA APN (NPI 1295274165) is an individual nurse practitioner in Lake Barrington, Illinois, licensed in Illinois (209015306) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1295274165
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. RUMYANA G KROULEVACredential: APN
Location Address22285 N PEPPER RD, SUITE #401Lake Barrington, IL 60010-2538
Mailing Address22285 Pepper Road, Suite #401Lake Barrington, IL 60010 · (847) 882-6604 · Fax (847) 882-6228
Phone(847) 882-6604
Fax(847) 882-6228
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 13, 2017
Last NPPES UpdateDecember 29, 20212 updates tracked since enumeration
NPPES CertifiedDecember 29, 2021
✔ NPI 1295274165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209015306
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.
22285 N PEPPER RD, Lake Barrington, IL 60010
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Ms. Rumyana G Krouleva Apn 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 ID9436436060
PECOS Enrollment IDI20170508001218
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 3

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
482 services303 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
48 services48 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
47 services37 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140030
Location1425 North Randall RoadElgin, IL 60123 · Kane County
Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140258
Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County
Emergency services Birthing friendly

St Alexius Medical Center

Acute Care Hospitals · Hoffman Estates, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140290
Location1555 N Barrington RdHoffman Estates, IL 60169 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60010 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

MR. ASLAM MOHAMMED KHAJA M.D.
Psychiatry & Neurology (Vascular Neurology)
22285 N PEPPER RD, SUITE 401
LAKE BARRINGTON, IL 60010
Cook County (847) 882-6604
CHAD C SPANGLER M.D.
Internal Medicine (Gastroenterology)
22285 N PEPPER RD, SUITE #311
LAKE BARRINGTON, IL 60010
Cook County (847) 382-4410
ANDREANO CHIROPRACTIC INC
Chiropractor (Nutrition)
22285 N PEPPER RD, SUITE210
LAKE BARRINGTON, IL 60010
Cook County (847) 713-2500
DR. GEORGE KATSAMAKIS M.D.
Psychiatry & Neurology (Neurology)
22285 N PEPPER RD, SUITE 401
LAKE BARRINGTON, IL 60010
Cook County (847) 882-6604
DR. BRIAN M KEUER MD
Urology
22285 N PEPPER RD, #201
LAKE BARRINGTON, IL 60010
Cook County (847) 382-5080
ASPEN ANESTHESIA, PC
Nurse Anesthetist, Certified Registered
22285 N PEPPER RD
LAKE BARRINGTON, IL 60010
Cook County (630) 472-8822
DR. DAVID E GOLDRATH M.D.
Urology
22285 N PEPPER RD, SUITE 201
LAKE BARRINGTON, IL 60010
Cook County (847) 382-5080
DR. BARRY H. BIKSHORN M.D.
Psychiatry & Neurology (Neurology)
22285 N PEPPER RD, SUITE 401
LAKE BARRINGTON, IL 60010
Cook County (847) 882-6604

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 Rumyana Krouleva's NPI number?

The NPI number for Rumyana Krouleva is 1295274165. It was assigned to this individual provider in the NPPES registry on February 13, 2017.

Where is Rumyana Krouleva located?

Rumyana Krouleva practices at 22285 N Pepper Rd Suite #401, Lake Barrington, IL 60010. The listed phone number is (847) 882-6604.

What is Rumyana Krouleva's specialty?

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

Is Rumyana Krouleva enrolled in Medicare?

Yes. Rumyana Krouleva is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rumyana Krouleva accept?

Health plans from UnitedHealthcare list Rumyana Krouleva 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.

Is Rumyana Krouleva affiliated with any hospitals?

According to CMS data, Rumyana Krouleva is affiliated with Advocate Sherman Hospital, Northwest Community Hospital 1, Alexian Brothers Medical Center 1 and St Alexius Medical Center.

When was this NPI record last updated?

The NPPES record for Rumyana Krouleva was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.