Active NPI
Rebecca Plutz, PA-C
- Physician Assistant
- Warrenville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085004568
- Practice address
- 4405 Weaver Pkwy
Warrenville, IL 60555-3269 - Phone
- (630) 352-5450
- Fax
- (630) 352-5320
- NPI assigned
- Nov 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 10001469A | IN | |
| Physician Assistant | 363A00000X | 085004568 | IL | Primary |
Addresses
Primary practice location
4405 Weaver Pkwy
Warrenville, IL 60555-3269
Mailing address
4405 Weaver Pkwy
Warrenville, IL 60555-3269
Phone (630) 352-5450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1105900 | Other | IN | NCCPA - |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 N Westmoreland Rd
Pavillion B 3Rd FL
Lake Forest, IL 60045-1659
Phone (847) 535-8500
1000 Westmoreland Rd
Lake Forest, IL 60045-1659
Phone (847) 234-5600
1001 Commerce Dr
Oak Brook, IL 60523-8865
1800 N Main St
Wheaton, IL 60187-3112
Phone (630) 933-4800
233 S Gary Ave
Bloomingdale, IL 60108-2213
Phone (630) 358-4414
235 S Gary Ave
Suite 100
Bloomingdale, IL 60108-2213
Phone (630) 893-9600
25 N Winfield Rd
Winfield, IL 60190-1295
2900 Foxfield Rd
Suite 100
St Charles, IL 60174-5799
Phone (630) 377-6500
300 Randall Rd
Geneva, IL 60134-4200
Phone (630) 933-4700
302 Delnor Dr
Suite 206
Geneva, IL 60134-4220
Phone (331) 732-4600
304 Randall Rd
Geneva, IL 60134-4200
Phone (630) 307-7799
345 Delnor Dr
Geneva, IL 60134-4220
Phone (630) 938-3100
4405 Weaver Pkwy
Warrenville, IL 60555-3269
Phone (630) 352-5450
4455 Weaver Pkwy
Warrenville, IL 60555-3269
Phone (630) 821-6400
600 N Westmoreland Rd
Suite 1100
Lake Forest, IL 60045-1659
Phone (847) 535-9510
636 Raymond Dr
Suite 107
Naperville, IL 60563-9789
Phone (630) 416-2300
660 N Westmoreland Rd
Lake Forest, IL 60045-1659
Phone (847) 234-5600
660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146
7 Blanchard Cir
Wheaton, IL 60189-2038
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
- Northwestern Medicine Delnor Community Hospital
- Northwestern Medicine McHenry
- Northwestern Medicine Kishwaukee Hospital
- Palos Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- Quality
- 88.47
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10001469A | IN | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
660 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6100
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
1001 Commerce Dr
Ste 700
Oak Brook, IL 60523
Phone (312) 732-4490
4405 Weaver Pkwy
Warrenville, IL 60555
Phone (630) 352-5450
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- Geneva, IL
- NPI 1407859655
-
- General Acute Care Hospital
- Dekalb, IL
- NPI 1669534517
-
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1689918336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4405 WEAVER PKWY",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605553269",
"telephone_number": "630-352-5450",
"fax_number": "630-352-5320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 WEAVER PKWY",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605553269",
"telephone_number": "630-352-5450",
"fax_number": "630-352-5320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUTZ",
"first_name": "REBECCA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-19",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IN",
"license": "10001469A",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085004568",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA -",
"identifier": "1105900",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warrenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.