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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: October 25, 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, is affiliated with Northwestern Medicine Central Dupage Hospital, and maintains 3 additional practice locations.

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

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

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Edna Rios reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Access Community Health Network
1.4 mi
Federally Qualified Health Center (FQHC)
5401 S WENTWORTH AVE
Chicago, IL 60609
  • Reassigned Medicare billing, Illinois enrollment
  • 413 clinicians in this Medicare group
NPI 1275605792 (773) 268-6900
Oak Street Health Physicians Group, PC
4.8 mi
Primary Care
1715 E 95TH ST
Chicago, IL 60617
  • Reassigned Medicare billing, Illinois enrollment
  • 343 clinicians in this Medicare group
NPI 1083051643 (773) 768-4437
Midwest Post Acute Care PLLC
11 mi
Nurse Practitioner
3000 N HALSTED ST STE 803
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois enrollment
  • 129 clinicians in this Medicare group
NPI 1083012074 (888) 705-8722
Forever Care Home Visiting Physicians Inc
20 mi
Multi-Specialty
2250 E DEVON AVE STE 332
Des Plaines, IL 60018
  • Reassigned Medicare billing, Illinois enrollment
  • 18 clinicians in this Medicare group
NPI 1851865364 (847) 257-7984
Home Visiting Doctors Medical Group LLC
23 mi
Primary Care
545 WHITE OAK RD
Bolingbrook, IL 60440
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group
NPI 1023801800 (847) 407-9676

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 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

Hospital Affiliations CMS Care Compare

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

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.

Which organizations bill Medicare for Edna Rios's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edna Rios reassigns Medicare benefits to 5 organizations: Access Community Health Network (Chicago, IL), Oak Street Health Physicians Group, PC (Chicago, IL), Midwest Post Acute Care PLLC (Chicago, IL), Forever Care Home Visiting Physicians Inc (Des Plaines, IL) and Home Visiting Doctors Medical Group LLC (Bolingbrook, 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 Edna Rios's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Edna Rios affiliated with any hospitals?

According to CMS data, Edna Rios is affiliated with Northwestern Medicine Central Dupage Hospital.

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 12 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.