PAIGE PRITZ NP
NPI 1356068415
Nurse Practitioner in Rockford, IL

Active since October 20, 2022PECOS EnrolledAccepts Medicare Assignment
60.25/100
CMS Quality Rating
401 ROXBURY RD, ROCKFORD, IL 61107(815) 397-7340 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Paige Pritz Np NPPES

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

PAIGE PRITZ NP (NPI 1356068415) is an individual nurse practitioner in Rockford, Illinois, licensed in Illinois (209026148) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356068415
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePAIGE PRITZCredential: NP
Location Address401 ROXBURY RDRockford, IL 61107-5078
Mailing Address401 Roxbury RdRockford, IL 61107-5078 · (815) 397-7340
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 20, 2022
Last NPPES UpdateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1356068415 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 · 209026148
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.
401 ROXBURY RD, Rockford, IL 61107

Other Names 1

Former Name (1)Paige Medearis Np

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paige Pritz Np 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 ID7911376314
PECOS Enrollment IDI20221207000100
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 Reassignments

2

Medicare enrollment records show Paige Pritz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
401 ROXBURY RD
Rockford, IL 61107
  • Reassigned Medicare billing, Illinois enrollment
  • 33 clinicians in this Medicare group
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.
219 services162 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
83 services83 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61107 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

60.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality11.05
Promoting Interoperability80
Improvement Activities40
Cost73.13

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.

Internal Medicine (Gastroenterology)
401 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Gastroenterology)
401 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Gastroenterology)
401 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Gastroenterology)
401 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Gastroenterology)
401 ROXBURY RD
ROCKFORD, IL 61107
Nurse Anesthetist, Certified Registered
401 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Gastroenterology)
401 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Gastroenterology)
401 ROXBURY RD
ROCKFORD, IL 61107

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 Paige Pritz's NPI number?

The NPI number for Paige Pritz is 1356068415. It was assigned to this individual provider in the NPPES registry on October 20, 2022. The provider is also known as Paige Medearis Np.

Where is Paige Pritz located?

Paige Pritz practices at 401 Roxbury Rd, Rockford, IL 61107. The listed phone number is (815) 397-7340.

What is Paige Pritz's specialty?

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

Is Paige Pritz enrolled in Medicare?

Yes. Paige Pritz 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.

Which organizations bill Medicare for Paige Pritz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paige Pritz reassigns Medicare benefits to 2 organizations: Rockford Gastroenterology Associates, Ltd. (Rockford, IL) and Osf Multi-Specialty Group (Peoria, IL). Each 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 Paige Pritz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paige Pritz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Quartz list Paige Pritz 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 Paige Pritz affiliated with any hospitals?

According to CMS data, Paige Pritz is affiliated with Uw Health and Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for Paige Pritz was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.