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PENELOPE GRACE RUPPERT
NPI 1366158529
Nurse Practitioner - Pediatrics in Winnetka, IL

Active since January 30, 2023PECOS Enrolled
572B LINCOLN AVE, WINNETKA, IL 60093(847) 501-4040(847) 501-4075 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Penelope Grace Ruppert NPPES

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

PENELOPE GRACE RUPPERT (NPI 1366158529) is an individual pediatrics provider in Winnetka, Illinois, licensed in Illinois (209026393) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366158529
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NamePENELOPE GRACE RUPPERT
Location Address572B LINCOLN AVEWinnetka, IL 60093-2308
Mailing Address572b Lincoln AveWinnetka, IL 60093-2308 · (847) 501-4040 · Fax (847) 501-4075
Phone(847) 501-4040
Fax(847) 501-4075
Sole ProprietorYes
Enumeration DateJanuary 30, 2023
NPPES CertifiedJanuary 30, 2023
✔ NPI 1366158529 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 · 209026393
572B LINCOLN AVE, Winnetka, IL 60093
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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 (PECOS)

Penelope Grace Ruppert 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60093 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.

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 Penelope Ruppert's NPI number?

The NPI number for Penelope Ruppert is 1366158529. It was assigned to this individual provider in the NPPES registry on January 30, 2023.

Where is Penelope Ruppert located?

Penelope Ruppert practices at 572B Lincoln Ave, Winnetka, IL 60093. The listed phone number is (847) 501-4040.

What is Penelope Ruppert's specialty?

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

Is Penelope Ruppert enrolled in Medicare?

Yes. Penelope Ruppert is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Penelope Ruppert was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.