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Active NPI 1437753431 Individual Practitioner Male Practitioner

Rafael Suello Plenos , APRN, CNP

Nurse Practitioner • Dekalb, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Rafael Plenos, APRN, CNP is a certified Nurse Practitioner practicing in Dekalb, IL. With approximately 13 years of clinical experience since completing medical education in 2013, Rafael Plenos delivers high-quality medical care to the local community at 1 KISH HOSPITAL DR.

Rafael Plenos is affiliated with Midwest Pulmonary Critical Care And Sleep Consultants Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include critical care, first, emergency department visit with moderate level of medical decision making, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Kish Hospital Dr

Dekalb, IL 601159602

Telephone 8157667334
Fax 8157669768
Associated Practice Facility / Clinic
🏢 Valley Pain Care Centers Ltd Facility NPI 1194722058

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Dekalb, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs +6.0 yrs vs City Avg
City Avg: 7.0 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
32 Specialists

Practicing in Dekalb, IL (4929 Statewide)

Telehealth Adoption Rate
28.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Plenos (13 Years) 13 Yrs
Dekalb Specialty Average (7.0 Years) 7.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99291 Critical care, first 30-74 minutes
184 177 $1029.00 $189.00
99284 Emergency department visit with moderate level of medical decision making
18 18 $365.00 $101.51

Medical Specialties & State Licenses

CMS Verified: 2022-08-25
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209021145

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IL 209021145

Definition to come...

Hospital & Practice Group Affiliations

Midwest Pulmonary Critical Care And Sleep Consultants Llc

12820 S Ridgeland Ave, Palos Heights, IL 604632389

Phone: 7083718006

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Lisa Roxworthy , APRN, CNP

Nurse Practitioner

NPI 1174209746

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Grace Ortman

Emergency Medicine

NPI 1215391099
Dr. Rockton Hitt , MD

Family Medicine

NPI 1225108947

Doctor of Medicine (M.D.)

Dr. Talha Ahmed , DO

Emergency Medicine

NPI 1225560733

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Hagstrom , DO

Emergency Medicine

NPI 1396191359

Doctor of Osteopathic Medicine (D.O.)

Dr. Sweta Shah , MD

Emergency Medicine

NPI 1427312727

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location August 25, 2022

Registered at 1 KISH HOSPITAL DR, DEKALB, IL 601159602 (Tel: 8157667334)

📍
Updated Business Mailing Address August 25, 2022

Registered at 1 KISH HOSPITAL DR, DEKALB, IL 601159602 (Tel: 8157667334)

👤
Provider Name / Credentials Updated August 25, 2022

Recorded as RAFAEL PLENOS, APRN, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2022

Nurse Practitioner (License #209021145 in IL)

NPI Profile Active November 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2020

Registered at 2924 GRANDE TRL, YORKVILLE, IL 605604692 (Tel: 8434965060)

📍
Updated Business Mailing Address November 30, 2020

Registered at 2924 GRANDE TRL, YORKVILLE, IL 605604692 (Tel: 8434965060)

👤
Provider Name / Credentials Updated November 30, 2020

Recorded as RAFAEL PLENOS, NURSE PRACTITIONER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2020

Nurse Practitioner (License #209021145 in IL)

🟢
Initial NPI Registration & Enumeration November 30, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437753431
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2020
Last Update: August 25, 2022
Sole Proprietor: No

Mailing Address

1 Kish Hospital Dr

Dekalb, IL 601159602

Phone: 8157667334

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.