ERIKA SOTELO
NPI 1972258325
Nurse Practitioner in Joliet, IL

Active since February 15, 2022PECOS EnrolledAccepts Medicare Assignment
3100 THEODORE ST STE 201, JOLIET, IL 60435(815) 744-5550 Get Directions Write a Review

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

Record update history: Feb 25, 2025, Nov 19, 2024, Aug 9, 2022 and 1 more (4 updates tracked since 2022).

About Erika Sotelo NPPES

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

ERIKA SOTELO (NPI 1972258325) is an individual nurse practitioner in Joliet, Illinois, licensed in Illinois (209023456) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1972258325
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameERIKA SOTELO
Location Address3100 THEODORE ST STE 201Joliet, IL 60435-0605
Mailing Address120 W 22nd St Ste 200Oak Brook, IL 60523-1563 · (630) 573-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 15, 2022
Last NPPES UpdateFebruary 25, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1972258325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209023456
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3100 THEODORE ST STE 201, Joliet, IL 60435

Secondary Practice Locations 2

Location 11890 Silver Cross Blvd Ste 415New Lenox, IL 60451-9575 · Phone (815) 717-8750
Location 21345 Edwards St Ste 3Morris, IL 60450-1692 · Phone (815) 905-2209

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

Erika Sotelo 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 ID8921493727
PECOS Enrollment IDI20220314001337
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

3

Medicare enrollment records show Erika Sotelo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephrology
120 W 22ND ST
Oak Brook, IL 60523
  • Reassigned Medicare billing, Illinois enrollment
  • 161 clinicians in this Medicare group
Nephrology
120 W 22ND ST
Oak Brook, IL 60523
  • Reassigned Medicare billing, Illinois enrollment
  • 15 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois enrollment
  • 712 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.

Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60435 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Internal Medicine (Nephrology)
3100 THEODORE ST STE 201
JOLIET, IL 60435
Nurse Practitioner
3100 THEODORE ST STE 201
JOLIET, IL 60435
Internal Medicine (Nephrology)
3100 THEODORE ST STE 201
JOLIET, IL 60435
Nurse Practitioner (Family)
3100 THEODORE ST STE 201
JOLIET, IL 60435

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 Erika Sotelo's NPI number?

The NPI number for Erika Sotelo is 1972258325. It was assigned to this individual provider in the NPPES registry on February 15, 2022.

Where is Erika Sotelo located?

Erika Sotelo practices at 3100 Theodore St Ste 201, Joliet, IL 60435. The listed phone number is (815) 744-5550.

What is Erika Sotelo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Erika Sotelo enrolled in Medicare?

Yes. Erika Sotelo 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 Erika Sotelo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erika Sotelo reassigns Medicare benefits to 3 organizations: Nephrology Associates Of Northern Illinois, Ltd. (Oak Brook, IL), Nani-Ihp LLC (Oak Brook, IL) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Erika Sotelo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Erika Sotelo was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.