MRS. CAROLYN ALYS RYDBERG APRN
NPI 1356804439
Nurse Practitioner - Family in Chicago, IL

Active since April 07, 2019PECOS EnrolledAccepts Medicare Assignment
4009 N BROADWAY ST, CHICAGO, IL 60613(773) 275-2586 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 27, 2024, Jul 7, 2022, Apr 7, 2019 (3 updates tracked since 2019).

About Mrs. Carolyn Alys Rydberg Aprn NPPES

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

MRS. CAROLYN ALYS RYDBERG APRN (NPI 1356804439) is an individual family provider in Chicago, Illinois, licensed in Illinois (209018699) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1356804439
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CAROLYN ALYS RYDBERGCredential: APRN
Location Address4009 N BROADWAY STChicago, IL 60613-2110
Mailing Address4009 N Broadway StChicago, IL 60613-2110 · (773) 275-2586
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 7, 2019
Last NPPES UpdateSeptember 27, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
NPI 1356804439 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 · 209018699
4009 N BROADWAY ST, Chicago, IL 60613

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

Mrs. Carolyn Alys Rydberg 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 ID9436587268
PECOS Enrollment IDI20200630000014
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

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.
31 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60613 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.

Physician Assistant (Medical)
4009 N BROADWAY ST
CHICAGO, IL 60613
Internal Medicine
4009 N BROADWAY ST
CHICAGO, IL 60613
Psychiatry & Neurology (Psychiatry)
4009 N BROADWAY ST
CHICAGO, IL 60613
Physician Assistant
4009 N BROADWAY ST
CHICAGO, IL 60613
Dentist (General Practice)
4009 N BROADWAY ST
CHICAGO, IL 60613
Family Medicine
4009 N BROADWAY ST
CHICAGO, IL 60613
Family Medicine
4009 N BROADWAY ST
CHICAGO, IL 60613
Nurse Practitioner (Psychiatric/Mental Health)
4009 N BROADWAY ST
CHICAGO, IL 60613

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 Carolyn Rydberg's NPI number?

The NPI number for Carolyn Rydberg is 1356804439. It was assigned to this individual provider in the NPPES registry on April 7, 2019.

Where is Carolyn Rydberg located?

Carolyn Rydberg practices at 4009 N Broadway St, Chicago, IL 60613. The listed phone number is (773) 275-2586.

What is Carolyn Rydberg's specialty?

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

Is Carolyn Rydberg enrolled in Medicare?

Yes. Carolyn Rydberg 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.

When was this NPI record last updated?

The NPPES record for Carolyn Rydberg was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.