MIRIAM TERESA RODRIGUEZ APN, FNP-C
NPI 1730645912
Nurse Practitioner - Family in Waukegan, IL
About Miriam Teresa Rodriguez Apn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRIAM TERESA RODRIGUEZ APN, FNP-C (NPI 1730645912) is an individual family provider in Waukegan, Illinois, licensed in Illinois (209018657) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Vista Medical Center East, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Miriam Teresa Rodriguez Apn, Fnp-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Miriam Rodriguez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Evanston, IL 60202
- Reassigned Medicare billing, Illinois enrollment
- 383 clinicians in this Medicare group
Chicago, IL 60617
- Reassigned Medicare billing, Illinois enrollment
- 343 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Vista Medical Center East
Acute Care Hospitals · Waukegan, ILNorthwestern Lake Forest Hospital
Acute Care Hospitals · Lake Forest, ILAdvocate Condell Medical Center
Acute Care Hospitals · Libertyville, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60085 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Miriam Rodriguez's NPI number?
The NPI number for Miriam Rodriguez is 1730645912. It was assigned to this individual provider in the NPPES registry on February 13, 2019.
Where is Miriam Rodriguez located?
Miriam Rodriguez practices at 3210 Grand Ave, Waukegan, IL 60085. The listed phone number is (847) 220-4103.
What is Miriam Rodriguez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Miriam Rodriguez enrolled in Medicare?
Yes. Miriam Rodriguez 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 Miriam Rodriguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Rodriguez reassigns Medicare benefits to 2 organizations: Erie Family Health Center Inc (Evanston, 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 Miriam Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Miriam Rodriguez affiliated with any hospitals?
According to CMS data, Miriam Rodriguez is affiliated with Vista Medical Center East, Northwestern Lake Forest Hospital and Advocate Condell Medical Center.
When was this NPI record last updated?
The NPPES record for Miriam Rodriguez was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Miriam Teresa Rodriguez, APN, FNP-C · NPI 1730645912
Family physician in Waukegan, Illinois. Individual provider, active in the CMS NPPES registry since February 13, 2019.
## Identity
- **NPI:** 1730645912 (Entity type: Individual)
- **Enumerated:** February 13, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209018657 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3210 GRAND AVE, Waukegan, IL 60085-2204
- **Phone:** (847) 220-4103
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Erie Family Health Center Inc (NPI 1629328836, Evanston, IL); Oak Street Health Physicians Group, PC (NPI 1083051643, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1730645912) · Data from the CMS NPPES public registry.