KATHLEEN E WODRICH APRN
NPI 1821494568
Nurse Practitioner - Family in Rockford, IL

Q: What is Kathleen Wodrich's NPI number?

The NPI number for Kathleen Wodrich is 1821494568. It was assigned to this individual provider in the NPPES registry on November 7, 2014.

Q: What is Kathleen Wodrich's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathleen Wodrich was last updated on November 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since November 07, 2014PECOS EnrolledAccepts Medicare Assignment

52.44/100

CMS Quality Rating

2222 E STATE ST, STE 209, ROCKFORD, IL 61104(815) 988-8500(815) 977-5956 Get Directions Write a Review

NPPES record last updated: November 14, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kathleen E Wodrich Aprn NPPES

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

KATHLEEN E WODRICH APRN (NPI 1821494568) is an individual family provider in Rockford, Illinois, licensed in Illinois (209.012112) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1821494568

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATHLEEN E WODRICHCredential: APRN

Location Address2222 E STATE ST, STE 209Rockford, IL 61104-1573

Mailing Address2222 E State St, Ste 209Rockford, IL 61104-1573 · (815) 988-8500 · Fax (815) 977-5956

Phone(815) 988-8500

Fax(815) 977-5956

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateNovember 7, 2014

Last NPPES UpdateNovember 14, 2015

✔ NPI 1821494568 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 · 209.012112

2222 E STATE ST, Rockford, IL 61104

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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

Kathleen E Wodrich Aprn 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 ID2062735715

PECOS Enrollment IDI20150105000213

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 Kathleen Wodrich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

In Home Medical Group LLC

1.9 mi

Family

4215 NEWBURG RD
Rockford, IL 61108

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

NPI 1497087175 (815) 988-8500

Community Home Physicians, LLC

63 mi

Physical Medicine & Rehabilitation

1S450 SUMMIT AVE STE 165
Oakbrook Terrace, IL 60181

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

NPI 1568909505 (630) 320-6871

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 8

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

186 services58 patients

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.

88 services63 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

76 services49 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

50 services21 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

46 services46 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

45 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140252

Location800 W Central RoadArlington Heights, IL 60005 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61104 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.

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.

52.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

57.39

Promoting Interoperability

Improvement Activities

Cost

34.1

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$19.02 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

SERENE HOME HEALTH CARE SERVICES, INC

Home Health

2222 E STATE ST, SUITE 201
ROCKFORD, IL 61104

Winnebago County (779) 210-7388

DR. BURTON EMERSON MOORE

Pediatrics

2222 E STATE ST, ROOM 108
ROCKFORD, IL 61104

Winnebago County (815) 962-7922

DAUPHNE SIMS

Clinical Nurse Specialist