Individual provider Active NPI

Rocio D Hernandez, PA

  • Physician Assistant
  • Glen Ellyn, IL
National Provider Identifier
1174293831
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
85.008624 Issued in IL
Practice address
799 Roosevelt Rd BLDG 4
Glen Ellyn, IL 60137-5908
Phone
(708) 356-2400
Fax
(708) 356-2420
NPI assigned
Sep 15, 2021
Last updated
Feb 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 85.008624 IL Primary

Addresses

Primary practice location

799 Roosevelt Rd BLDG 4
Glen Ellyn, IL 60137-5908

Mailing address

799 Roosevelt Rd BLDG 4
Glen Ellyn, IL 60137-5908
Phone (708) 356-2400

Other names 1

  • Rocio Gonzalez Munoz Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rgonzalez238605@direct.edward.org

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
I20211116003124 IL Practitioner - Physician Assistant 4981093754 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Miami Medical College, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mava Healthcare Systems PLLCGroup PAC ID 8921457292, 5 clinicians

Practice addresses (Care Compare)

1319 Butterfield Rd
Suite 500
Downers Grove, IL 60515-5621
Phone (708) 356-2400

799 Roosevelt Rd
BLDG 4
Glen Ellyn, IL 60137-5908
Phone (708) 356-2400

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100Reported as group
Quality
80.59
Promoting interoperability
100
Improvement activities
40
Cost
76.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
85.008624ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bespoke Psychiatry CurrentSince Feb 1, 2023 Accepting new patients

Locations

1203 W Augusta Blvd
Ste 1
Chicago, IL 60642
Phone (773) 248-2255

Organizations & group practices 2

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": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1174293831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 ROOSEVELT RD BLDG 4",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375908",
            "telephone_number": "708-356-2400",
            "fax_number": "708-356-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 ROOSEVELT RD BLDG 4",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375908",
            "telephone_number": "708-356-2400",
            "fax_number": "708-356-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ROCIO",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "85.008624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgonzalez238605@direct.edward.org",
            "affiliation": "N",
            "address_1": "16519 S Rte 59 Ste D",
            "city": "Plainfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605862608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ROCIO",
            "last_name": "GONZALEZ MUNOZ",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Ellyn, IL

Sources for this page

Verify at the official NPI Registry.