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DIANE RODRIGUEZ FNP-C
NPI 1649980905
Nurse Practitioner - Family in Cicero, IL

Active since November 28, 2022PECOS Enrolled
3522 S 58TH CT, CICERO, IL 60804(708) 822-0666 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2022, Nov 28, 2022 (2 updates tracked since 2022).

About Diane Rodriguez Fnp-c NPPES

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

DIANE RODRIGUEZ FNP-C (NPI 1649980905) is an individual family provider in Cicero, Illinois, licensed in Illinois (209026463) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649980905
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDIANE RODRIGUEZCredential: FNP-C
Location Address3522 S 58TH CTCicero, IL 60804-4266
Mailing Address3522 S 58th CtCicero, IL 60804-4266 · (708) 822-0666
Phone(708) 822-0666
Sole ProprietorNo
Enumeration DateNovember 28, 2022
Last NPPES UpdateDecember 16, 20222 updates tracked since enumeration
NPPES CertifiedDecember 16, 2022
✔ NPI 1649980905 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 · 209026463
3522 S 58TH CT, Cicero, IL 60804
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diane Rodriguez Fnp-c 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.

Medicare Billing Reassignment

Medicare enrollment records show Diane Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mount Sinai Community Foundation
2.3 mi
Urology
6084 S ARCHER AVE, STE 202
Chicago, IL 60638
  • Reassigned Medicare billing, Illinois enrollment
  • 646 clinicians in this Medicare group
NPI 1548640212 (773) 581-5888

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 60804 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 Diane Rodriguez's NPI number?

The NPI number for Diane Rodriguez is 1649980905. It was assigned to this individual provider in the NPPES registry on November 28, 2022.

Where is Diane Rodriguez located?

Diane Rodriguez practices at 3522 S 58th Ct, Cicero, IL 60804. The listed phone number is (708) 822-0666.

What is Diane Rodriguez's specialty?

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

Is Diane Rodriguez enrolled in Medicare?

Yes. Diane Rodriguez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Diane Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diane Rodriguez reassigns Medicare benefits to Mount Sinai Community Foundation (Chicago, IL). The 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 Diane Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Diane Rodriguez was last updated on December 16, 2022. 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.