Rachel Brdicka, FNP
Individual provider Active NPI Family Nurse Practitioner · Chicago, IL
NPI 1043183288 · NPPES record last updated Sep 24, 2025
Key facts
- NPI
- 1043183288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209.033308 (IL)
- Practice address
- 5359 W Fullerton Ave
Chicago, IL 60639-1450 - Phone
- (773) 836-2785
- NPI assigned
- Sep 24, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- PCC Community Wellness Center
Practice addresses (Care Compare)
5359 W Fullerton Ave
Chicago, IL 60639-1450
Phone 7083830113220005
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251029000303 | IL | Practitioner - Nurse Practitioner | 4688163819 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.033308 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PCC Community Wellness Center | Current |
Accepting new patients | |
| PCC Community Wellness Center | Current |
Accepting new patients | |
| PCC Community Wellness Center | Past | Accepting new patients |
Locations
5359 W Fullerton Ave
Chicago, IL 60639
Phone (773) 836-2785
14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113
Interoperability endpoints
- rachel.brdicka.1@13158.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.033308 | IL | Yes |
Addresses
Primary practice location
5359 W Fullerton Ave
Chicago, IL 60639-1450
Mailing address
5359 W Fullerton Ave
Chicago, IL 60639-1450
Phone (773) 836-2785
Other providers in Chicago, IL
- Gabrielle Brazg
- Nicole Brazg
- Anisa Brazier
- Marsha Jane Brazley
- Jelena Brdarski
- Cristina Mercedes Brea
- Nina Brea
- Jonith Y. Breadon
- Break the Cycle Foundation Inc
- Break the Lease Therapy Practice, LLC
All providers in Chicago, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.