David Jeremy Bachert, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209.298478 Issued in IL

Practice address

1641 N Alpine Rd Ste 207
Rockford, IL 61107-1458

Phone

(630) 974-6602

NPI assigned

May 20, 2022

Sex

Male

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

State licenses

Practice roles

Locations

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.

• Silver Glen Road Opco LLC

  • Substance Abuse Rehabilitation Facility
  • St Charles, IL
  • NPI 1578187886
  NPD
• TMS Clinical Services PLLC

  • Psychiatry Physician
  • Oak Brook, IL
  • NPI 1285273540
  NPD

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154069094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41W400 SILVER GLEN RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601758453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 N ALPINE RD STE 207",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611071458",
            "telephone_number": "630-974-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHERT",
        "first_name": "DAVID",
        "middle_name": "JEREMY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.298478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehwish Aziz, MD
• Meraj Aziz, MD
• Priscilla M Babler, R.D.
• Leroy P Bach, MD
• Steven Bach, D.O.
• Melissa Alexandra Bachman, APRN
• Back in Action Holistic Health Center
• Back to You Birth & Postpartum Doulas
• Nabil David Baddour, D.O., MPH
• Hasan Bader, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Rockford, IL
• Providers in Rockford, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.