VODICKA FAMILY HEALTH & WELLNESS LLC
NPI 1912652645
Clinic/Center - Health Service in Lemont, IL

Active since February 22, 2022
13045 RAVINE DR, LEMONT, IL 60439(847) 703-0262 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Vodicka Family Health & Wellness Llc NPPES

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

VODICKA FAMILY HEALTH & WELLNESS LLC (NPI 1912652645) is a healthcare organization registered as a health service in Lemont, Illinois and active in the NPI registry since February 2022. The organization lists Jessica Vodicka, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1912652645
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameVODICKA FAMILY HEALTH & WELLNESS LLC
Location Address13045 RAVINE DRLemont, IL 60439-7331
Mailing Address13045 Ravine DrLemont, IL 60439-7331 · (847) 703-0262
Organization SubpartNo
Authorized OfficialJessica VodickaNurse Practitioner · (847) 703-0262
Enumeration DateFebruary 22, 2022
NPPES CertifiedFebruary 22, 2022
✔ NPI 1912652645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
13045 RAVINE DR, Lemont, IL 60439

Other Names 1

Doing Business AsVodicka Family Health & Wellness Llc

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vodicka Family Health & Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vodicka Family Health & Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1073924015
13045 RAVINE DR
Lemont, IL 60439
(630) 233-4738
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Vodicka Family Health & Wellness LLC's NPI number?

The NPI number for Vodicka Family Health & Wellness LLC is 1912652645. It was assigned to this organization in the NPPES registry on February 22, 2022.

Where is Vodicka Family Health & Wellness LLC located?

Vodicka Family Health & Wellness LLC is located at 13045 Ravine Dr, Lemont, IL 60439. The listed phone number is (847) 703-0262.

What is Vodicka Family Health & Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Vodicka Family Health & Wellness LLC enrolled in Medicare?

Yes. Vodicka Family Health & Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vodicka Family Health & Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Vodicka Family Health & Wellness LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vodicka Family Health & Wellness LLC was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.