Individual provider Active NPI

Rockie Vanga, APN

  • Family Nurse Practitioner
  • Mount Prospect, IL
National Provider Identifier
1104473784
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209019481 Issued in IL
Practice address
500 W Central Rd Ste 204
Mount Prospect, IL 60056-2381
Phone
(847) 376-8144
NPI assigned
Aug 20, 2019
Last updated
Aug 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209019481 IL Primary

Addresses

Primary practice location

500 W Central Rd Ste 204
Mount Prospect, IL 60056-2381

Mailing address

1820 N 39TH Ave
Stone Park, IL 60165-1016
Phone (773) 306-5099

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
I20210206000033 IL Practitioner - Nurse Practitioner 9436563285 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians

Practice addresses (Care Compare)

6300 W 95TH St
Oak Lawn, IL 60453-2256
Phone (708) 599-8800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgecare, Inc. CurrentSince Nov 25, 2021 Accepting new patients
Midwest Post Acute Care PLLC CurrentSince Apr 7, 2024 Accepting new patients
CMC Healthcare LLC CurrentSince Feb 2, 2026 Accepting new patients
Infinite Medical PC CurrentSince Dec 31, 2023 Accepting new patients
Midwest Post Acute Care Aco PLLC CurrentSince Sep 30, 2024 Accepting new patients
Cimpar, S.C. CurrentSince Dec 1, 2022 Accepting new patients
Reliable Visiting Physicians Inc CurrentSince Aug 25, 2019 Accepting new patients
Physicals Plus, Inc CurrentSince Oct 18, 2020 Accepting new patients

Locations

716 18th St
Charleston, IL 61920
Phone (217) 345-7054

11401 S Oakley Ave
Chicago, IL 60643
Phone (733) 233-6311

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

2940 W 87th St
Chicago, IL 60652
Phone (773) 434-8787

1 Park Ln W
Clinton, IL 61727
Phone (217) 935-8500

1645 S River Rd
Ste 2
Des Plaines, IL 60018
Phone (224) 803-2273

2201 Main St
Evanston, IL 60202
Phone (847) 905-3000

19740 Governors Hwy
Ste 116
Flossmoor, IL 60422
Phone (708) 607-2503

3300 175th St
Hazel Crest, IL 60429
Phone (708) 335-2400

500 W Central Rd
Ste 204
Mt Prospect, IL 60056
Phone (224) 723-3527

6840 W Touhy Ave
Niles, IL 60714
Phone (317) 873-7450

6300 W 95th St
Oak Lawn, IL 60453
Phone (708) 599-4981

101 Madison St
Ste 300
Oak Park, IL 60302
Phone (773) 849-9406

250 Skillman St
Ste 202
Brooklyn, NY 11205

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1104473784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 N 39TH AVE",
            "city": "STONE PARK",
            "state": "IL",
            "postal_code": "601651016",
            "telephone_number": "773-306-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W CENTRAL RD STE 204",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600562381",
            "telephone_number": "847-376-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGA",
        "first_name": "ROCKIE",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.