Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366158529 Individual Practitioner Female Practitioner

Penelope Grace Ruppert

Nurse Practitioner - Pediatrics • Winnetka, IL

Professional Overview & Biography Verified Profile Summary

Penelope Ruppert is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Winnetka, IL. Practice services are available at 572B LINCOLN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

572b Lincoln Ave

Winnetka, IL 600932308

Telephone 8475014040
Fax 8475014075
Associated Practice Facility / Clinic
🏢 Elm Street Pediatrics Facility NPI 1033124714

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Winnetka, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Winnetka, IL (694 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-30
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License IL 209026393

Definition to come...

Practice Associates & Co-Workers

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

9 Associated Practitioners
Melissa Koehler

Nurse Practitioner - Pediatrics

NPI 1033530548
Paula Fonger , RN

Registered Nurse

NPI 1063821031

Registered Nurse

NPI 1184834236

Doctor of Medicine (M.D.)

NPI 1205901816

Doctor of Medicine (M.D.)

Leah Pieczynski , PA-C

Physician Assistant - Medical

NPI 1427361740

Physician Assistant (Certified)

NPI 1447352935

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 30, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2023

Registered at 572B LINCOLN AVE, WINNETKA, IL 600932308 (Tel: 8475014040)

📍
Updated Business Mailing Address January 30, 2023

Registered at 572B LINCOLN AVE, WINNETKA, IL 600932308 (Tel: 8475014040)

👤
Provider Name / Credentials Updated January 30, 2023

Recorded as PENELOPE RUPPERT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2023

Nurse Practitioner (License #209026393 in IL)

🟢
Initial NPI Registration & Enumeration January 30, 2023

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: 1366158529
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2023
Last Update: January 30, 2023
Sole Proprietor: Yes

Mailing Address

572b Lincoln Ave

Winnetka, IL 600932308

Phone: 8475014040

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.