MRS. DONNA C CZECH
NPI 1396104501
Nurse Practitioner - Family in Chicago, IL
About Mrs. Donna C Czech NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DONNA C CZECH (NPI 1396104501) is an individual family provider in Chicago, Illinois, licensed in Illinois (209003802) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2001).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Donna C Czech 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.
Medicare Billing Reassignments
3Medicare enrollment records show Donna Czech reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60625
- Reassigned Medicare billing, Illinois enrollment
- 38 clinicians in this Medicare group
Oakbrook Terrace, IL 60181
- Reassigned Medicare billing, Illinois enrollment
- 189 clinicians in this Medicare group
Rockford, IL 61107
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Rockford Psychiatric Medical Services Sc
- 163 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60625 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Donna Czech's NPI number?
The NPI number for Donna Czech is 1396104501. It was assigned to this individual provider in the NPPES registry on February 16, 2016.
Where is Donna Czech located?
Donna Czech practices at 2024 W Sunnyside Ave, Chicago, IL 60625. The listed phone number is (773) 612-4335.
What is Donna Czech's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Donna Czech enrolled in Medicare?
Yes. Donna Czech 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 Donna Czech's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donna Czech reassigns Medicare benefits to 3 organizations: Lutheran Social Services Of Illinois (Chicago, IL), Vpa PC (Oakbrook Terrace, IL) and Rockford Psychiatric Medical Services, S.C. (Rockford, 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 Donna Czech's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Donna Czech accept?
Health plans from MercyCare, MercyCare Health Plans, Oscar Health and Quartz list Donna Czech 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.
When was this NPI record last updated?
The NPPES record for Donna Czech was last updated on May 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mrs. Donna C Czech · NPI 1396104501
Family physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since February 16, 2016.
## Identity
- **NPI:** 1396104501 (Entity type: Individual)
- **Enumerated:** February 16, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209003802 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2024 W SUNNYSIDE AVE, Chicago, IL 60625-1605
- **Phone:** (773) 612-4335
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Lutheran Social Services Of Illinois (NPI 1144613746, Chicago, IL); Vpa PC (NPI 1174925663, Oakbrook Terrace, IL); Rockford Psychiatric Medical Services, S.C. (NPI 1821391442, Rockford, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2001
## Record status
- **NPPES last updated:** May 20, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1396104501) · Data from the CMS NPPES public registry.