MR. NATHAN DAVID RIGGINS ACNPC-AG
NPI 1538940952
Nurse Practitioner - Acute Care in Rockford, IL

Active since October 11, 2023PECOS EnrolledAccepts Medicare Assignment
1340 CHARLES ST STE 100, ROCKFORD, IL 61104(779) 696-1900 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2023, Oct 11, 2023 (2 updates tracked since 2023).

About Mr. Nathan David Riggins Acnpc-ag NPPES

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

MR. NATHAN DAVID RIGGINS ACNPC-AG (NPI 1538940952) is an individual acute care provider in Rockford, Illinois, licensed in Illinois (041.368794) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1538940952
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. NATHAN DAVID RIGGINSCredential: ACNPC-AG
Location Address1340 CHARLES ST STE 100Rockford, IL 61104-2200
Mailing Address950 Aura CirRockford, IL 61108-2676 · (815) 703-0887
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 11, 2023
Last NPPES UpdateOctober 11, 20232 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
NPI 1538940952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in IL · 041.368794
1340 CHARLES ST STE 100, Rockford, IL 61104

Accepted Insurance

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

Mr. Nathan David Riggins Acnpc-ag 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 ID749637692
PECOS Enrollment IDI20231114002323
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 6

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.
58 services44 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
28 services19 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
23 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
22 services20 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.
19 services18 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61104 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.

Other Providers at the Same Location NPPES 14

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

Orthopaedic Surgery
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Surgery
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Physician Assistant
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Surgery
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Nurse Practitioner
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Surgery (Surgical Oncology)
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Physician Assistant
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Physician Assistant
1340 CHARLES ST STE 100
ROCKFORD, IL 61104

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 Nathan Riggins's NPI number?

The NPI number for Nathan Riggins is 1538940952. It was assigned to this individual provider in the NPPES registry on October 11, 2023.

Where is Nathan Riggins located?

Nathan Riggins practices at 1340 Charles St Ste 100, Rockford, IL 61104. The listed phone number is (779) 696-1900.

What is Nathan Riggins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nathan Riggins enrolled in Medicare?

Yes. Nathan Riggins 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.

What insurance does Nathan Riggins accept?

Health plans from Quartz list Nathan Riggins 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 Nathan Riggins affiliated with any hospitals?

According to CMS data, Nathan Riggins is affiliated with Uw Health.

When was this NPI record last updated?

The NPPES record for Nathan Riggins was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.