Individual provider Active NPI

Rachel Arpilleda Mordeno, APN

  • Gerontology Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1003340449
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
209015432 Issued in IL
Practice address
8338 Central Park Ave
Skokie, IL 60076-2813
Phone
(847) 208-7037
NPI assigned
Apr 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 209015432 IL Primary

Addresses

Primary practice location

8338 Central Park Ave
Skokie, IL 60076-2813

Mailing address

8338 Central Park Ave
Skokie, IL 60076-2813
Phone (847) 208-7037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180309001115 IL Practitioner - Nurse Practitioner 1850652785 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209015432ILMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Radial Health SC CurrentSince Jan 13, 2018 Accepting new patients

Locations

26895 Network Pl
Chicago, IL 60673

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

1990 Larkin Ave
Ste 3
Elgin, IL 60123
Phone (630) 201-1533

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1003340449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8338 CENTRAL PARK AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762813",
            "telephone_number": "847-208-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8338 CENTRAL PARK AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762813",
            "telephone_number": "847-208-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORDENO",
        "first_name": "RACHEL",
        "middle_name": "ARPILLEDA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209015432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.