MR. ROCKIE VANGA (APN) – Family Nurse Practitioner, NPI 1104473784

MR. ROCKIE VANGA (APN) is a healthcare provider. based in Stone park, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209019481 (IL). The NPI Number for MR. ROCKIE VANGA (APN) is 1104473784

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. ROCKIE VANGA (APN)
NPI
1104473784
Phone
(773) 306-5099
Address
1820 N 39TH AVE
Enumeration Date
20 August 2019
Last Update Date
20 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7085998800
Graduation Year
2018 (8 years ago)
PAC ID
9436563285
Group Practice PAC ID
4688039209
Professional Enrollment ID
I20210206000033
Address ID
IL604532256OA6300XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for MR. ROCKIE VANGA (APN)

  • 1820, North 39th Avenue, Stone Park, Proviso Township, Cook County, Illinois, 60165, United States

    STONE PARK, IL 601651016

    Phone: (773) 306-5099

    Type: Mailing

  • 204, West Central Road, Mount Prospect, Wheeling Township, Cook County, Illinois, 60056, United States

    MOUNT PROSPECT, IL 600562381

    Phone: (847) 376-8144

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-02-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210206000033INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes3627$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3029$0
99238Hospital discharge day management, 30 minutes or less2925$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2115$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes2117$0
View full utilization report →

Insurance plans in this area (ZIP 60165)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688039209View full group profile
NameSpecialtyState
Mental Health CounselorIL
Clinical Social WorkerIL
Nurse PractitionerIL
Nurse PractitionerIL
Clinical Social WorkerIL
Mental Health CounselorIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is the standard ID for MR. ROCKIE VANGA (APN) in the U.S.?
In the U.S., MR. ROCKIE VANGA (APN) is identified by NPI 1104473784.
Quick check: is MR. ROCKIE VANGA (APN) active?
Public NPPES data shows MR. ROCKIE VANGA (APN) with an active NPI status right now.
What type of care does MR. ROCKIE VANGA (APN) provide?
MR. ROCKIE VANGA (APN)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. ROCKIE VANGA (APN)?
MR. ROCKIE VANGA (APN) shows a connection to Stone Park, Illinois in registry-derived data.
Who maintains MR. ROCKIE VANGA (APN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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