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

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: August 09, 2026.

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

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
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

Secondary Practice Location 1

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

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 (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.

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.

Clinic/Center (Mental Health (Including Community Mental Health Center))
483 N MULFORD RD STE 8
ROCKFORD, IL 61107
Counselor (Mental Health)
483 N MULFORD RD STE 8
ROCKFORD, IL 61107
Social Worker (Clinical)
483 N MULFORD RD STE 8
ROCKFORD, IL 61107
Nurse Practitioner (Psychiatric/Mental Health)
483 N MULFORD RD STE 8
ROCKFORD, IL 61107

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.

What insurance does Edith De Soto accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica, 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 8 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.