Individual provider Active NPI

Rheta Pucci, FNP

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1740705532
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209016317 Issued in IL
Practice address
250 E Superior St Ste LC-2101
Chicago, IL 60611-2914
Phone
(312) 926-2520
Fax
(312) 926-6374
NPI assigned
Aug 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209016317 IL
Nurse Practitioner 363L00000X 209016317 IL Primary

Addresses

Primary practice location

250 E Superior St Ste LC-2101
Chicago, IL 60611-2914

Mailing address

250 E Superior St Ste LC-2101
Chicago, IL 60611-2914
Phone (312) 926-2520

Other practice location 1

100 E Walton St Apt 31G
Chicago, IL 60611-4926
Phone (312) 259-0005

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171116001430 IL Practitioner - Nurse Practitioner 4981960465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

259 E Erie
Lavin 1520
Chicago, IL 60611-2987
Phone (312) 695-8150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209016317ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foundation CurrentSince Apr 4, 2018 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Nov 1, 2017 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Nov 1, 2017 Accepting new patients
Mount Sinai Community Foundation CurrentSince Apr 4, 2018 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Central Dupage Physician Group PastSince Sep 14, 2025 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

250 E Superior St
Ste LC2101
Chicago, IL 60611
Phone (312) 926-2520

251 E Huron St
Ste LC178
Chicago, IL 60611
Phone (312) 926-2520

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

259 E Erie St
Ste 1520
Chicago, IL 60611
Phone (312) 227-6180

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

Organizations & group practices 6

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1740705532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E SUPERIOR ST STE LC-2101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112914",
            "telephone_number": "312-926-2520",
            "fax_number": "312-926-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E SUPERIOR ST STE LC-2101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112914",
            "telephone_number": "312-926-2520",
            "fax_number": "312-926-6374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Walton St Apt 31G",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606114926",
            "country_code": "US",
            "telephone_number": "312-259-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUCCI",
        "first_name": "RHETA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016317",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209016317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.