Individual provider Active NPI

Sara Anne Hormig, APN

  • Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1164826012
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277.000205 Issued in IL
Practice address
Physicians Immediate Care
3475 S Alpind Rd.
Rockford, IL 61109-2604
Phone
(815) 874-8000
NPI assigned
Oct 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 145470-30 WI
Registered Nurse 163W00000X 041.265949 IL
Nurse Practitioner 363L00000X 6155-33 WI
Nurse Practitioner 363L00000X 277000205 IL
Nurse Practitioner 363L00000X 277.000205 IL Primary

Addresses

Primary practice location

Physicians Immediate Care
3475 S Alpind Rd.
Rockford, IL 61109-2604

Mailing address

3475 S Alpine Rd
Rockford, IL 61109-2604
Phone (815) 874-8000

Other practice location 1

The Bridge Clinic
318 N. Church St.
Rockford, IL 61101
Phone (815) 494-1594

Other names 1

  • Sara Anne Hoerner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190305003281 IL Practitioner - Nurse Practitioner 2769706936 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Hospitalist Group LLCGroup PAC ID 9830559491, 41 clinicians

Practice addresses (Care Compare)

1401 E State St
Rockford, IL 61104-2315
Phone (779) 696-4400

Hospital & facility affiliations

  • Uw Health Hospital, Rockford, IL, CCN 140228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041.265949ILMDRegistered Nurse
145470-30WIMDRegistered Nurse
277.000205ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Perspective Behavioral and Pain Solutions LTD CurrentSince May 1, 2022 Accepting new patients
Central Dupage Physician Group CurrentSince Dec 1, 2021 Accepting new patients
MD @ Home Illinois, SC CurrentSince May 30, 2019 Accepting new patients
Vpa PC CurrentSince Nov 1, 2019 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince May 23, 2022 Accepting new patients
Vpa PC CurrentSince Nov 1, 2019 Accepting new patients
Central Dupage Physician Group CurrentSince Dec 1, 2021 Accepting new patients
Rockford Hospitalist Group, LLC CurrentSince Sep 1, 2023 Accepting new patients
The Bridge Clinic of Rockofrd Past Accepting new patients

Locations

1625 S State St
Belvidere, IL 61008
Phone (815) 544-1846

Dept 5777
Carol Stream, IL 60122

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

2003 W Fulton St
Ste 303
Chicago, IL 60612
Phone (312) 243-2223

2720 S River Rd
Ste 130
Des Plaines, IL 60018
Phone (224) 470-6107

2720 S River Rd
Ste 246
Des Plaines, IL 60018
Phone (847) 306-7277

2490 Bushwood Dr
Elgin, IL 60124
Phone (224) 293-5200

10350 Haligus Rd
Ste 200C
Huntley, IL 60142
Phone (847) 802-7046

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1164826012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 S ALPINE RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611092604",
            "telephone_number": "815-874-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PHYSICIANS IMMEDIATE CARE",
            "address_2": "3475 S ALPIND RD.",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611092604",
            "telephone_number": "815-874-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "The Bridge Clinic",
            "address_2": "318 N. Church St.",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "61101",
            "country_code": "US",
            "telephone_number": "815-494-1594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORMIG",
        "first_name": "SARA",
        "middle_name": "ANNE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "145470-30",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.265949",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "6155-33",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277000205",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277.000205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "HOERNER",
            "middle_name": "ANNE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.