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ELIZABETH BOLANOS APN
NPI 1518465632
Nurse Practitioner - Family in Chicago, IL

Active since January 23, 2018PECOS EnrolledAccepts Medicare Assignment
4327 S ARCHER AVE, CHICAGO, IL 60632(773) 242-2370 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Bolanos Apn NPPES

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

ELIZABETH BOLANOS APN (NPI 1518465632) is an individual family provider in Chicago, Illinois, licensed in Illinois (209016790) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1518465632
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH BOLANOSCredential: APN
Location Address4327 S ARCHER AVEChicago, IL 60632-2844
Mailing AddressPo Box 746721Atlanta, GA 30374-6721 · (312) 733-9730
Phone(773) 242-2370
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 23, 2018
Last NPPES UpdateMay 4, 2021
NPPES CertifiedMay 4, 2021
✔ NPI 1518465632 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 · 209016790
4327 S ARCHER AVE, Chicago, IL 60632
Open in Google Maps ↗

Secondary Practice Location 1

Location 13240 W Division StChicago, IL 60651-2405 · Phone (312) 413-2695

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

Elizabeth Bolanos Apn 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 ID547521676
PECOS Enrollment IDI20180306000030
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 2

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.
16 services15 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60632 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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIELA ADRIANA RUEDA MD
Family Medicine
4327 S ARCHER AVE
CHICAGO, IL 60632
Cook County (773) 242-2370
VANESSA ORTIZ
Nurse Practitioner (Family)
4327 S ARCHER AVE
CHICAGO, IL 60632
Cook County (773) 242-2370
JASMINE MARIE GAONA PA
Physician Assistant
4327 S ARCHER AVE
CHICAGO, IL 60632
Cook County (773) 242-2370
JORGE MARTINEZ NOA AARNP-C
Nurse Practitioner (Gerontology)
4327 S ARCHER AVE
CHICAGO, IL 60632
Cook County (773) 242-2370
FRANCINA MIGUELINA PERALTA MACHADO MD
Internal Medicine
4327 S ARCHER AVE
CHICAGO, IL 60632
Cook County (773) 242-2370
DR. SERGIO H RODRIGUEZ M.D.
Internal Medicine
4327 S ARCHER AVE
CHICAGO, IL 60632
Cook County (773) 242-2370
JANET RODRIGUEZ MA, LCPC
Counselor (Professional)
4327 S ARCHER AVE
CHICAGO, IL 60632
Cook County (773) 242-2370
KARINA MEZA
Counselor (Professional)
4327 S ARCHER AVE
CHICAGO, IL 60632
Cook County (773) 242-2370

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 Elizabeth Bolanos's NPI number?

The NPI number for Elizabeth Bolanos is 1518465632. It was assigned to this individual provider in the NPPES registry on January 23, 2018.

Where is Elizabeth Bolanos located?

Elizabeth Bolanos practices at 4327 S Archer Ave, Chicago, IL 60632. The listed phone number is (773) 242-2370.

What is Elizabeth Bolanos's specialty?

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

Is Elizabeth Bolanos enrolled in Medicare?

Yes. Elizabeth Bolanos 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 Elizabeth Bolanos was last updated on May 4, 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.