Rose A. Kutilek, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209007153 Issued in IL

Practice address

747 N Rutledge St
Suite 2204
Springfield, IL 62702-6700

Phone

(217) 525-2500

Fax

(217) 525-9374

NPI assigned

Jul 24, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Nathan Adelson Hospice Inc

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1639147051
  Medicare reassignment NPD
• Trusted Primary Care

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1114509809
  NPD
• Center for Compassionate Care and Palliative Services Institute

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Las Vegas, NV
  • NPI 1639494867
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1770626426
  NPD (past)
• Sunrise Mountainview Hospital, Inc.

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831143817
  NPD (past)

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1194980664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 N RUTLEDGE ST",
            "address_2": "SUITE 2204",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627026700",
            "telephone_number": "217-525-2500",
            "fax_number": "217-525-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 N RUTLEDGE ST",
            "address_2": "SUITE 2204",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627026700",
            "telephone_number": "217-525-2500",
            "fax_number": "217-525-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTILEK",
        "first_name": "ROSE",
        "middle_name": "A.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209007153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica T Kunken, NP-C
• Elizabeth Kunz, PHARMD
• Joel Morris Kuperman, L.AC.
• Amy Lyn Kurfman, RPH
• Breanna Paige Kurk
• Denis Kuzelj, MD
• John E. Kwedar, M.D.
• Susanna Sien Kwok, MD
• Helen D Kwong, MD
• L. Williams Therapy, LLC

• Family Nurse Practitioner in Springfield, IL
• Providers in Springfield, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.