Clarisa Medina Poeliniz, APN - Nurse Practitioner in Rochelle, IL

Clarisa Medina Poeliniz, APN is a Nurse Practitioner - Pediatrics based in Rochelle, Illinois. Clarisa Medina Poeliniz is licensed to practice in Illinois (license number 209.007592) and her current practice location is 903 S 7th St Ste C, Rochelle, Illinois. She can be reached at her office (for appointments etc.) via phone at (815) 562-6976.

NPI number for Clarisa Medina Poeliniz is 1285862748 and her current mailing address is 903 S 7th St Ste C, Rochelle, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285862748.

Contact Information

Clarisa Medina Poeliniz, APN
903 S 7th St Ste C,
Rochelle, IL 61068-9375
(815) 562-6976
(815) 562-9786

Map and Direction




Provider's Profile

Full NameClarisa Medina Poeliniz
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location903 S 7th St Ste C, Rochelle, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1285862748
  • Provider Enumeration Date: 06/23/2009
  • Last Update Date: 01/28/2013

Medical Identifiers

Medical identifiers for Clarisa Medina Poeliniz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285862748NPI-NPPES
376793031OtherILMEDICARE PTAN
376796015OtherILMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041.317970 (Illinois)Secondary
363LP0200XNurse Practitioner - Pediatrics 209.007592 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clarisa Medina Poeliniz is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Clarisa Medina Poeliniz, APN
903 S 7th St Ste C,
Rochelle, IL 61068-9375

Ph: (815) 562-6976
Clarisa Medina Poeliniz, APN
903 S 7th St Ste C,
Rochelle, IL 61068-9375

Ph: (815) 562-6976

Reviews and Comments


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