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
Hospital & facility affiliations 1
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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250409003911 | IL | Practitioner - Nurse Practitioner | 6800310947 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Health System | Current |
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
- rgarcia53121@direct.riversidehealthcare.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Parmis Fatih
- Kristin L Fields
- Katherine Jane Ford
- Timothy John Friedrich
- Mary Ann Salera Garcia
- Olivia Garrett
- Kristin Brianne Geary
- Jonathan Robert Gilliand
- Grand Prairie Services
- Amy J Green
All providers in Bradley, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.