Active NPI
McKenzie Lynn Hogan-Stephens, DNP, APRN, FNP-BC
- Nurse Practitioner
- Rockford, IL
National Provider Identifier
1073445557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209034814
- Practice address
- 1200 W State St
Rockford, IL 61102-2112 - Phone
- (815) 490-1600
- NPI assigned
- Jun 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209034814 | IL | Primary |
Addresses
Primary practice location
1200 W State St
Rockford, IL 61102-2112
Mailing address
1200 W State St
Rockford, IL 61102-2112
Phone (815) 490-1600
Other practice location 1
1215 N Alpine Rd
Rockford, IL 61107-2201
Phone (815) 490-1600
Other practice location 2
1100 Broadway
Rockford, IL 61104-1417
Phone (815) 490-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209034814 | IL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1073445557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611022112",
"telephone_number": "815-490-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611022112",
"telephone_number": "815-490-1600"
}
],
"practiceLocations": [
{
"address_1": "1215 N Alpine Rd",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611072201",
"country_code": "US",
"telephone_number": "815-490-1600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Broadway",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611041417",
"country_code": "US",
"telephone_number": "815-490-1600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOGAN-STEPHENS",
"first_name": "MCKENZIE",
"middle_name": "LYNN",
"credential": "DNP, APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-01",
"last_updated": "2026-06-01",
"certification_date": "2026-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209034814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.