DR. MARIO NATHANIEL ROSALES (DC) – Chiropractor, NPI 1720613631

DR. MARIO NATHANIEL ROSALES (DC) is a healthcare provider. based in Loves park, Illinois. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 038.013533 (IL). The NPI Number for DR. MARIO NATHANIEL ROSALES (DC) is 1720613631

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARIO NATHANIEL ROSALES (DC)
NPI
1720613631
Phone
(815) 986-4411
Address
1820 WINDSOR RD
Enumeration Date
11 March 2020
Last Update Date
16 November 2020

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
7794232044
Graduation Year
2020 (6 years ago)
PAC ID
6204247034
Group Practice PAC ID
4880865336
Professional Enrollment ID
I20201130000597
Address ID
IL611084328RO863XXRDXX403
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

2,145 CHIROPRACTIC in IL

Provider Addresses for DR. MARIO NATHANIEL ROSALES (DC)

  • 1820 WINDSOR RD

    LOVES PARK, IL 611114271

    Phone: (815) 986-4411

    Type: Mailing

  • 1643 N ALPINE RD P.O. BOX 149

    STE. 104

    ROCKFORD, IL 611071462

    Phone: (815) 398-8023

    Type: Mailing

  • 818 COOLIDGE PL

    ROCKFORD, IL 611073638

    Phone: (815) 398-8023

    Fax: (815) 399-2430

    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: 2020-11-30

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
I20201130000597IChiropracticILTBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions11217$0
View full utilization report →

Insurance plans in this area (ZIP 61111)

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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: 4880865336View full group profile
NameSpecialtyState
C H I R O P R A C T I CCA
C H I R O P R A C T I CIL
C H I R O P R A C T I CNE
C H I R O P R A C T I CFL
C H I R O P R A C T I CIL
C H I R O P R A C T I CIL

Reviews

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Frequently asked questions

Can I cross-check DR. MARIO NATHANIEL ROSALES (DC) using NPI 1720613631?
NPI 1720613631 belongs to DR. MARIO NATHANIEL ROSALES (DC); compare other details if you need extra assurance.
Is DR. MARIO NATHANIEL ROSALES (DC) shown as active in public data?
Registry records indicate DR. MARIO NATHANIEL ROSALES (DC) maintains an active NPI.
What clinical focus is listed for DR. MARIO NATHANIEL ROSALES (DC)?
At a glance, DR. MARIO NATHANIEL ROSALES (DC) is tied to Chiropractor. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MARIO NATHANIEL ROSALES (DC)?
Directory geography for DR. MARIO NATHANIEL ROSALES (DC) centers on Loves Park, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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