EDITH KARINA DE SOTO PMHNP-BC
NPI 1699520932
Nurse Practitioner - Psychiatric/Mental Health in Rockford, IL

Q: What is Edith De Soto's NPI number?

The NPI number for Edith De Soto is 1699520932. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Q: What is Edith De Soto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Edith De Soto was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since April 19, 2024PECOS Enrolled

483 N MULFORD RD STE 8, ROCKFORD, IL 61107(779) 210-2964(779) 269-0744 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 25, 2025, Apr 19, 2024 (2 updates tracked since 2024).

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About Edith Karina De Soto Pmhnp-bc NPPES

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

EDITH KARINA DE SOTO PMHNP-BC (NPI 1699520932) is an individual psychiatric/mental health provider in Rockford, Illinois, licensed in Nebraska (115516) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Omaha, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1699520932

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameEDITH KARINA DE SOTOCredential: PMHNP-BC

Location Address483 N MULFORD RD STE 8Rockford, IL 61107-5164

Mailing Address483 N Mulford Rd Ste 8Rockford, IL 61107-5164

Phone(779) 210-2964

Fax(779) 269-0744

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateApril 19, 2024

Last NPPES UpdateNovember 25, 20252 updates tracked since enumeration

NPPES CertifiedNovember 25, 2025

✔ NPI 1699520932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in NE · 115516✔ Licensed in IL · 209.029566

483 N MULFORD RD STE 8, Rockford, IL 61107

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Secondary Practice Location 1

Location 12121 S 44th StOmaha, NE 68105-2809 · Phone (402) 807-5117

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Oscar Health, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edith Karina De Soto Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335677699

PECOS Enrollment IDI20250114002795

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

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

Toledo Mental Health Clinic PLLC

Same address

Clinical

483 N MULFORD RD STE 8
Rockford, IL 61107

Reassigned Medicare billing, Illinois enrollment
4 clinicians in this Medicare group

NPI 1366326068 (779) 770-0512

Montes Psychiatric Center, P.C.

0.1 mi

Psychiatry

6090 STRATHMOOR DR STE 1
Rockford, IL 61107

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Montes Psychiatric Center PC
8 clinicians in this Medicare group

NPI 1629694278 (815) 839-8180

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 61107 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 4

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

TOLEDO BEHAVIORAL HEALTH PLLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

483 N MULFORD RD STE 8
ROCKFORD, IL 61107

Winnebago County (779) 770-0512

MIGUEL ANGEL TOLEDO LCSW

Counselor (Mental Health)

483 N MULFORD RD STE 8
ROCKFORD, IL 61107

Winnebago County (779) 770-0512

TOLEDO MENTAL HEALTH CLINIC PLLC

Social Worker (Clinical)

483 N MULFORD RD STE 8
ROCKFORD, IL 61107

Winnebago County (779) 770-0512

KENDAL JUSTICE PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

483 N MULFORD RD STE 8
ROCKFORD, IL 61107

Winnebago County (779) 210-2964

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 Edith De Soto's NPI number?

The NPI number for Edith De Soto is 1699520932. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Where is Edith De Soto located?

Edith De Soto practices at 483 N Mulford Rd Ste 8, Rockford, IL 61107. The listed phone number is (779) 210-2964.

What is Edith De Soto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Edith De Soto enrolled in Medicare?

Yes. Edith De Soto is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Edith De Soto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edith De Soto reassigns Medicare benefits to 2 organizations: Toledo Mental Health Clinic PLLC (Rockford, IL) and Montes Psychiatric Center, P.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 Edith De Soto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edith De Soto accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Oscar Health, Oscar Insurance Company and UnitedHealthcare list Edith De Soto 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 Edith De Soto was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.