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DR. FRANCES RIVERA APRN
NPI 1326711359
Nurse Practitioner - Family in Downers Grove, IL

Active since July 27, 2021PECOS EnrolledAccepts Medicare Assignment
3815 HIGHLAND AVE, DOWNERS GROVE, IL 60515(630) 275-4290 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Frances Rivera Aprn NPPES

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

DR. FRANCES RIVERA APRN (NPI 1326711359) is an individual family provider in Downers Grove, Illinois, licensed in Illinois (209021826) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Loyola University Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1326711359
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. FRANCES RIVERACredential: APRN
Location Address3815 HIGHLAND AVEDowners Grove, IL 60515-1500
Mailing Address1829 Hatch StDowners Grove, IL 60516-3721 · (773) 983-6102
Phone(630) 275-4290
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 27, 2021
NPPES CertifiedSeptember 11, 2020
✔ NPI 1326711359 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 · 209021826
3815 HIGHLAND AVE, Downers Grove, IL 60515
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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 and accepts Medicare assignment

Dr. Frances Rivera Aprn 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 ID2961886585
PECOS Enrollment IDI20220831002143
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 4

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
40 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services30 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140276
Location2160 S 1st AvenueMaywood, IL 60153 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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.

STEPHANIE WOLFF PA-C
Physician Assistant
3815 HIGHLAND AVE
DOWNERS GROVE, IL 60515
Dupage County (630) 275-5900
DR. MICHAEL J IWANICKI D.O.
Surgery
3815 HIGHLAND AVE, TOWER 2, SUITE 107
DOWNERS GROVE, IL 60515
Dupage County (630) 275-7800
TRAUMA AND SURGICAL SPECIALISTS OF DUPAGE, LLC
Surgery
3815 HIGHLAND AVE, TOWER 2, SUITE 107
DOWNERS GROVE, IL 60515
Dupage County (630) 275-7800
DR. JUSTIN GRIFFITH MILLER M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3815 HIGHLAND AVE
DOWNERS GROVE, IL 60515
Dupage County (630) 324-7913
ZACHARY JOHN BASTIAN M.D.
Anesthesiology
3815 HIGHLAND AVE
DOWNERS GROVE, IL 60515
Dupage County (630) 275-5900
MANISA BAKER APN
Clinical Nurse Specialist (Acute Care)
3815 HIGHLAND AVE
DOWNERS GROVE, IL 60515
Dupage County (630) 275-5900
MARY SUE DAILEY APRN
Clinical Nurse Specialist (Adult Health)
3815 HIGHLAND AVE
DOWNERS GROVE, IL 60515
Dupage County (630) 275-5900
DR. HEMANT PANCHAL M.D.
Pain Medicine (Interventional Pain Medicine)
3815 HIGHLAND AVE
DOWNERS GROVE, IL 60515
Dupage County (630) 275-5900

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 Frances Rivera's NPI number?

The NPI number for Frances Rivera is 1326711359. It was assigned to this individual provider in the NPPES registry on July 27, 2021.

Where is Frances Rivera located?

Frances Rivera practices at 3815 Highland Ave, Downers Grove, IL 60515. The listed phone number is (630) 275-4290.

What is Frances Rivera's specialty?

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

Is Frances Rivera enrolled in Medicare?

Yes. Frances Rivera 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.

Is Frances Rivera affiliated with any hospitals?

According to CMS data, Frances Rivera is affiliated with Loyola University Medical Center.

When was this NPI record last updated?

The NPPES record for Frances Rivera was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.