Individual provider Active NPI

Rhonda Renee Collins

  • Family Nurse Practitioner
  • Naperville, IL
National Provider Identifier
1912615725
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.026300 Issued in IL
Practice address
2135 City Gate LN Ste 350
Naperville, IL 60563-3092
Phone
(864) 625-3376
NPI assigned
Nov 10, 2022
Last updated
Nov 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.026300 IL Primary

Addresses

Primary practice location

2135 City Gate LN Ste 350
Naperville, IL 60563-3092

Mailing address

550 E Devon Ave Ste 200
Itasca, IL 60143-2639
Phone (864) 625-3376

Other practice location 1

550 E Devon Ave Ste 200
Itasca, IL 60143-2639
Phone (864) 625-3376

Other practice location 2

3100 Theodore St Ste 220
Joliet, IL 60435-8534
Phone (864) 625-3376

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
I20221130001056 IL Practitioner - Nurse Practitioner 6800264540

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

550 E Devon Ave
Suite 200
Itasca, IL 60143-2639

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.026300ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group PastSince Nov 13, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rcollins@oakderm.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1912615725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E DEVON AVE STE 200",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601432639",
            "telephone_number": "864-625-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 CITY GATE LN STE 350",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633092",
            "telephone_number": "864-625-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 E Devon Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Itasca",
            "state": "IL",
            "postal_code": "601432639",
            "country_code": "US",
            "telephone_number": "864-625-3376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Theodore St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604358534",
            "country_code": "US",
            "telephone_number": "864-625-3376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "RHONDA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.026300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.