Individual provider Active NPI

Josephine Ann Rios, APN CNM

  • Advanced Practice Midwife
  • Bloomingdale, IL
National Provider Identifier
1487737078
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209005364 Issued in IL
Practice address
303 E Army Trail Road
Suite 410a
Bloomingdale, IL 60108
Phone
(630) 893-8161
Fax
(630) 893-8564
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209005364 IL Primary

Addresses

Primary practice location

303 E Army Trail Road
Suite 410a
Bloomingdale, IL 60108

Mailing address

303 E Army Trail Rd
Suite 410a
Bloomingdale, IL 60108-2169
Phone (630) 893-8161

Other identifiers 1

IdentifierTypeStateIssuer
209398OtherILGROUP MEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jrios5891@direct.achn.net Direct

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090113000305 IL Practitioner - Certified Nurse Midwife (CNM) 2163585431 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
209005364ILMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Mar 11, 2013 Accepting new patients
Access Community Health Network Current Accepting new patients
Access Community Health Network CurrentSince Mar 11, 2013 Accepting new patients
Access Community Health Network Past Accepting new patients

Locations

1111 W Lake St
Addison, IL 60101
Phone (630) 628-1811

245 S Gary Ave
Ste 200
Bloomingdale, IL 60108
Phone (630) 893-5230

245 S Gary Ave
Lowr
Bloomingdale, IL 60108
Phone (630) 893-5230

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

Interoperability endpoints

  • Direct secure messaging: jrios5891@direct.achn.net

Organizations & group practices 4

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1487737078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD",
            "address_2": "SUITE 410A",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082169",
            "telephone_number": "630-893-8161",
            "fax_number": "630-893-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL ROAD",
            "address_2": "SUITE 410A",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "60108",
            "telephone_number": "630-893-8161",
            "fax_number": "630-893-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS",
        "first_name": "JOSEPHINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APN CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209005364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "209398",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrios5891@direct.achn.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "245 S Gary Ave Ste 200",
            "city": "Bloomingdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601082218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.