Stacy Renee Pauley, RN, BSN, CHPN

Primary specialty

Hospice Registered NurseTaxonomy code 163WH1000X

License

041466728 Issued in IL

Practice address

4751 Harrison Ave
Rockford, IL 61108-7929

Phone

(815) 398-0500

NPI assigned

Apr 30, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northern Illinois Hospice Association

  • Community Based Hospice Care Agency
  • Rockford, IL
  • NPI 1700884731
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1033056833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8613 BYRON HILLS DR",
            "city": "BYRON",
            "state": "IL",
            "postal_code": "610109791",
            "telephone_number": "815-262-3808",
            "fax_number": "815-262-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 HARRISON AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611087929",
            "telephone_number": "815-398-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULEY",
        "first_name": "STACY",
        "middle_name": "RENEE",
        "credential": "RN, BSN, CHPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "IL",
            "license": "041466728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Revis MD SC
• Bart J. Paul, DDS
• Jaison Paul, MD
• Jon A Paul, D.C.
• Paula Tripodi LCSW
• Yevhen Pavelko, MD
• Bindu Pavithran, MD
• Sean Pavlick
• Yvette Carolina Pavon-Cardenas
• Rachel Pawlowski, OTR/L

• Hospice Registered Nurse in Rockford, IL
• Providers in Rockford, IL by specialty
• Hospice Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.