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RICHIE TORRES APN-BC
NPI 1639801533
Nurse Practitioner - Adult Health in Chicago, IL

Active since June 29, 2022PECOS EnrolledAccepts Medicare Assignment
80.83/100
CMS Quality Rating
4848 W IRVING PARK RD, CHICAGO, IL 60641(773) 724-6200(773) 866-8015 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Richie Torres Apn-bc NPPES

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

RICHIE TORRES APN-BC (NPI 1639801533) is an individual adult health provider in Chicago, Illinois, licensed in Illinois (209.025417) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639801533
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameRICHIE TORRESCredential: APN-BC
Location Address4848 W IRVING PARK RDChicago, IL 60641-2718
Mailing AddressPo Box 746721Atlanta, GA 30374-6721 · (127) 339-7303 · Fax (773) 866-8015
Phone(773) 724-6200
Fax(773) 866-8015
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 29, 2022
Last NPPES UpdateAugust 29, 2022
NPPES CertifiedJuly 8, 2022
✔ NPI 1639801533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IL · 209.025417
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 041384019 (IL)
4848 W IRVING PARK RD, Chicago, IL 60641
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Richie Torres Apn-bc 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 ID7012392020
PECOS Enrollment IDI20220912001957
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Richie Torres reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mount Sinai Community Foundation
3.4 mi
Family Medicine
3111 W ARMITAGE AVE
Chicago, IL 60647
  • Reassigned Medicare billing, Illinois enrollment
  • 646 clinicians in this Medicare group
NPI 1144383084 (773) 394-5260
Oak Street Health Physicians Group, PC
18 mi
Primary Care
1715 E 95TH ST
Chicago, IL 60617
  • Reassigned Medicare billing, Illinois enrollment
  • 343 clinicians in this Medicare group
NPI 1083051643 (773) 768-4437

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.
75 services34 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140018
Location1500 S Fairfield AveChicago, IL 60608 · Cook County
Emergency services Birthing friendly

Holy Cross Hospital

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140133
Location2701 W 68th StreetChicago, IL 60629 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60641 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.96
Promoting Interoperability72
Improvement Activities40
Cost63.15

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.

ORNA A REGEN MD
Internal Medicine
4848 W IRVING PARK RD
CHICAGO, IL 60641
Cook County (855) 625-7878
D2 DENTAL AT OAK STREET, P.C.
Dentist (General Practice)
4848 W IRVING PARK RD
CHICAGO, IL 60641
Cook County (773) 724-6200
RUSALINA C. MUNTEAN-MINCU MD
Internal Medicine
4848 W IRVING PARK RD
CHICAGO, IL 60641
Cook County (773) 724-6200
MR. MARK STEVEN STOLSPART FNP-BC
Nurse Practitioner (Family)
4848 W IRVING PARK RD
CHICAGO, IL 60641
Cook County (773) 724-6200
ERICA NAVARRO LCSW
Social Worker (Clinical)
4848 W IRVING PARK RD
CHICAGO, IL 60641
Cook County (773) 724-6200
DR. SHIRA LERNER MD
Family Medicine
4848 W IRVING PARK RD
CHICAGO, IL 60641
Cook County (773) 724-6200
HILDA G SMITH PMNNP-BC, MSN, MPH
Nurse Practitioner (Psychiatric/Mental Health)
4848 W IRVING PARK RD
CHICAGO, IL 60641
Cook County (773) 724-6200
JESSICA LOREN ANTONI APN
Nurse Practitioner (Family)
4848 W IRVING PARK RD
CHICAGO, IL 60641
Cook County (773) 724-6200

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 Richie Torres's NPI number?

The NPI number for Richie Torres is 1639801533. It was assigned to this individual provider in the NPPES registry on June 29, 2022.

Where is Richie Torres located?

Richie Torres practices at 4848 W Irving Park Rd, Chicago, IL 60641. The listed phone number is (773) 724-6200.

What is Richie Torres's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Richie Torres enrolled in Medicare?

Yes. Richie Torres 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 Richie Torres's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richie Torres reassigns Medicare benefits to 2 organizations: Mount Sinai Community Foundation (Chicago, IL) and Oak Street Health Physicians Group, PC (Chicago, 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 Richie Torres's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richie Torres accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Richie Torres 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 Richie Torres affiliated with any hospitals?

According to CMS data, Richie Torres is affiliated with Mt Sinai Hospital Medical Center and Holy Cross Hospital.

When was this NPI record last updated?

The NPPES record for Richie Torres was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.