Individual provider Active NPI

Priscilla Rivera, APRN

  • Adult Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1205116282
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
277.003527 Issued in IL
Practice address
2627 W Cermak Rd
Chicago, IL 60608-3514
Phone
(773) 839-3000
Fax
(773) 389-3333
NPI assigned
Aug 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 277.003527 IL Primary

Addresses

Primary practice location

2627 W Cermak Rd
Chicago, IL 60608-3514

Mailing address

2627 W Cermak Rd
Chicago, IL 60608-3514
Phone (773) 839-3000

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
I20111019000782 IL Practitioner - Nurse Practitioner 8527230325 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277.003527ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Karefirst Illinois PC CurrentSince Aug 11, 2025 Accepting new patients
Oak Street Health Physicians Group, PC CurrentSince Dec 1, 2014 Accepting new patients

Locations

7000 Cermak Rd
Berwyn, IL 60402
Phone (708) 484-8090

7000 Cermak Rd
Fl 3
Berwyn, IL 60402

6918 W Archer Ave
Chicago, IL 60638
Phone (773) 586-2233

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

2420 State St
East Saint Louis, IL 62205
Phone (618) 318-8809

6631 N Milwaukee Ave
Niles, IL 60714
Phone (847) 588-4131

Organizations & group practices 3

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": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1205116282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083514",
            "telephone_number": "773-839-3000",
            "fax_number": "773-389-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083514",
            "telephone_number": "773-839-3000",
            "fax_number": "773-389-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "PRISCILLA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "277.003527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.