Rosaura Garcia, FNP-BC

Individual provider Active NPI Family Nurse Practitioner · Bradley, IL

NPI 1356147656 · NPPES record last updated Feb 19, 2025

Key facts

NPI
1356147656
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
209029986 (IL)
Practice address
400 S Kennedy Dr
Bradley, IL 60915-2682
Phone
(815) 935-7532
NPI assigned
Feb 19, 2025
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Health System (202 clinicians)

Practice addresses (Care Compare)

105 S 1St St
Willmington, IL 60481-8973
Phone (815) 476-5210

375 N Wall St
P520
Kankakee, IL 60901-3493
Phone (815) 933-0194

400 S Kennedy Dr
Suite 200
Bradley, IL 60915-2686
Phone (815) 933-0007

Hospital & facility affiliations

  • Riverside Medical Center Hospital · Kankakee, IL · CCN 140186

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250409003911 IL Practitioner - Nurse Practitioner 6800310947 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Health System Current
since Apr 1, 2025
Accepting new patients
Riverside Health System Current Accepting new patients

Locations

400 S Kennedy Dr
Ste 700
Bradley, IL 60915
Phone (815) 935-7532

400 S Kennedy Dr
Bradley, IL 60915
Phone (815) 928-8050

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

Interoperability endpoints

  • Direct secure messaging: rgarcia53121@direct.riversidehealthcare.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209029986 IL Yes

Addresses

Primary practice location

400 S Kennedy Dr
Bradley, IL 60915-2682

Mailing address

40 Joe Orr CT
Crete, IL 60417-2225
Phone (708) 953-0169

Other providers in Bradley, IL

All providers in Bradley, IL · Family Nurse Practitioner in Illinois

Sources for this page

Verify at the official NPI Registry.