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EDNA MICHELLE RIOS FNP-BC
NPI 1982145967
Nurse Practitioner - Family in Chicago, IL

Active since March 10, 2017PECOS EnrolledAccepts Medicare Assignment
5841 S MARYLAND AVE,, MC4080, CHICAGO, IL 60637(773) 702-9916(773) 702-6972 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edna Michelle Rios Fnp-bc NPPES

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

EDNA MICHELLE RIOS FNP-BC (NPI 1982145967) is an individual family provider in Chicago, Illinois, licensed in Illinois (277.002051) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1982145967
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEDNA MICHELLE RIOSCredential: FNP-BC
Location Address5841 S MARYLAND AVE,, MC4080Chicago, IL 60637-1448
Mailing AddressPo Box 746715Atlanta, GA 30374-6715 · (773) 589-4385 · Fax (872) 228-8601
Phone(773) 702-9916
Fax(773) 702-6972
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 10, 2017
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1982145967 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 · 277.002051
5841 S MARYLAND AVE,, Chicago, IL 60637
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11819 N Harlem Ave Ste AChicago, IL 60707-3716 · Phone (773) 589-4385 · Fax (872) 228-8601
Location 24848 W Irving Park RdChicago, IL 60641-2718 · Phone (773) 724-6200 · Fax (773) 866-8015
Location 34417 W Diversey AveChicago, IL 60639-1923 · Phone (773) 377-7736 · Fax (815) 642-5723

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edna Michelle Rios Fnp-bc 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 ID7012250996
PECOS Enrollment IDI20190516000591
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.

Areas of Expertise CMS Part B claims 4

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.
791 services84 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
77 services44 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.
52 services29 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.
26 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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

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

MS. ANPHY MOHAN
Physician Assistant
5841 S MARYLAND AVE,, UNIVERSITY OF CHICAGO MEDICAL CENTER DEPT. OF OB/GYN
CHICAGO, IL 60637
Cook County (773) 702-1000

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 Edna Rios's NPI number?

The NPI number for Edna Rios is 1982145967. It was assigned to this individual provider in the NPPES registry on March 10, 2017.

Where is Edna Rios located?

Edna Rios practices at 5841 S Maryland Ave, Mc4080, Chicago, IL 60637. The listed phone number is (773) 702-9916.

What is Edna Rios's specialty?

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

Is Edna Rios enrolled in Medicare?

Yes. Edna Rios 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.

What insurance does Edna Rios accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Edna Rios 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 Edna Rios was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.