ELZBIETA RIVELA (PA-C) – Physician Assistant, NPI 1164070884

ELZBIETA RIVELA (PA-C) is a healthcare provider. based in Libertyville, Illinois. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 085.007145 (IL). The NPI Number for ELZBIETA RIVELA (PA-C) is 1164070884

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ELZBIETA RIVELA (PA-C)
NPI
1164070884
Phone
(847) 231-4721
Address
900 TECHNOLOGY WAY STE 120
Enumeration Date
27 August 2019
Last Update Date
18 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8472314721
Graduation Year
2019 (7 years ago)
PAC ID
7416289509
Group Practice PAC ID
2961305693
Professional Enrollment ID
I20191022002270
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

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Provider Addresses for ELZBIETA RIVELA (PA-C)

  • Technology Way, Libertyville, Lake County, Illinois, 60048-1244, United States

    LIBERTYVILLE, IL 600485364

    Phone: (847) 231-4721

    Type: Location

  • 10640, 165th Street, Alpine, Orland Park, Orland Township, Cook County, Illinois, 60467, United States

    ORLAND PARK, IL 604678734

    Phone: (708) 364-0261

    Type: Mailing

  • 6435 FARM TO MARKET RD 549

    SUITE 202

    HEATH, TX 75032

    Phone: (214) 466-7222

    Type: Mailing

  • 1536 N JEFFERSON ST

    JACKSONVILLE, FL 322096525

    Phone: (904) 475-5800

    Type: Mailing

  • 1536 NORTH JEFFERSON ST

    JACKSONVILLE, FL 32209

    Phone: (904) 475-5800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2023-01-20 • Largest payer in this snapshot: ZOLL Respicardia, Inc. ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ZOLL Respicardia, Inc.$26
View all Open Payments →|Open Payments Risk Radar →

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: 2019-10-22

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
I20191022002270IPhysician AssistantILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60048)

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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: 2961305693View full group profile
NameSpecialtyState
Nurse PractitionerIL
Clinical PsychologistIL
-IL
-IL
Physician AssistantIL
Nurse PractitionerIL
Physician AssistantIL
Nurse PractitionerIL
Physician AssistantIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do I look up ELZBIETA RIVELA (PA-C) by NPI?
Use NPI 1164070884 when you need to reference ELZBIETA RIVELA (PA-C) in forms, claims, or directories.
Is ELZBIETA RIVELA (PA-C) active in the national directory?
ELZBIETA RIVELA (PA-C)'s public NPI profile is in an active state.
Can you summarize ELZBIETA RIVELA (PA-C)'s specialty in plain language?
Clinically, the directory lists ELZBIETA RIVELA (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does ELZBIETA RIVELA (PA-C) practice in Illinois?
You will see Libertyville, Illinois on file for ELZBIETA RIVELA (PA-C) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.