Rosa Elva Camarena, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209021092 Issued in IL

Practice address

1275 E Belvidere Rd Ste 110
Grayslake, IL 60030-2080

Phone

(847) 548-2528

Fax

(847) 548-2152

NPI assigned

Jun 22, 2020

Last updated

Apr 4, 2023By the provider in NPPES

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 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rush-Copley Medical Group, NFP

  • Family Medicine Physician
  • Aurora, IL
  • NPI 1093075848
  Medicare reassignment NPD
• Absolute Integrated Health, S.C.

  • General Practice Physician
  • Plainfield, IL
  • NPI 1487921235
  NPD
• Integrative Pathways PLLC

  • General Practice Physician
  • Lombard, IL
  • NPI 1790654713
  NPD
• Family Doctors of Round Lake PC

  • Family Medicine Physician
  • Grayslake, IL
  • NPI 1831306885
  NPD (past)

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1295351583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 E BELVIDERE RD STE 110",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302080",
            "telephone_number": "847-548-2528",
            "fax_number": "847-548-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 E BELVIDERE RD STE 110",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302080",
            "telephone_number": "847-548-2528",
            "fax_number": "847-548-2152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 W Galena Blvd",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605064305",
            "country_code": "US",
            "telephone_number": "630-692-5960",
            "fax_number": "630-692-5961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMARENA",
        "first_name": "ROSA",
        "middle_name": "ELVA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209021092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Yareli Caballero Bolanos, MA
• Caitlin Chandran MSN, Aprn-Fpa, FNP-BC PLLC
• Ashley Marie Caleel, D.O.
• Lindsay R Calhoun
• Kelly Callen Magallon, MS
• Camelot Care Centers, LLC
• Camelot Care Centers, LLC.
• Gabriella Campo
• Marilyn Carmona
• Carol Paxton Cox Psy D PC

• Family Nurse Practitioner in Grayslake, IL
• Providers in Grayslake, 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 Apr 4, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.