Individual provider Active NPI

Joyce Fricks

  • Adult Health Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1174900450
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209012770 Issued in IL
Practice address
301 E State St
Rockford, IL 61104-1012
Phone
(815) 668-7810
Fax
(815) 714-6219
NPI assigned
May 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 209012770 IL
Adult Health Nurse Practitioner 363LA2200X 209012770 IL Primary

Addresses

Primary practice location

301 E State St
Rockford, IL 61104-1012

Mailing address

29624 Network PL
Chicago, IL 60673-1296

Other practice location 1

9900 Bren Rd E
Minnetonka, MN 55343-9664
Phone (443) 524-8697

Other practice location 2

3401 N Perryville Rd
Rockford, IL 61114-8011
Phone (815) 971-2000

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
I20210217000664 IL Practitioner - Nurse Practitioner 1951716331 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians

Practice addresses (Care Compare)

2313 N Rockton Ave
Rockford, IL 61103-3618
Phone (815) 964-2200

3401 N Perryville Rd
Rockford, IL 61114-8011
Phone (815) 971-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209012770ILMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Medical PLLC CurrentSince Nov 26, 2023 Accepting new patients
Oak Street Health Physicians Group, PC CurrentSince Jan 4, 2021 Accepting new patients
Altea Medical Illinois PLLC CurrentSince Jan 6, 2024 Accepting new patients
Rockford Health Physicians CurrentSince Dec 2, 2024 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

Carol Stream, IL 60122

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444

3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400

1101 E State St
Geneva, IL 60134
Phone (630) 208-1876

900 W River Pl
Kankakee, IL 60901
Phone (815) 933-1711

578 Commercial St
Marseilles, IL 61341
Phone (815) 795-5121

3401 N Perryville Rd
Rockford, IL 61114

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

301 E State St
Rockford, IL 61104
Phone (815) 201-1970

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880

727 N 17th St
Swansea, IL 62226
Phone (618) 234-3323

Interoperability endpoints

  • Direct secure messaging: jfricks120134@direct.mhemail.org

Organizations & group practices 5

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 2

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": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1174900450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29624 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611041012",
            "telephone_number": "815-668-7810",
            "fax_number": "815-714-6219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9900 Bren Rd E",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553439664",
            "country_code": "US",
            "telephone_number": "443-524-8697",
            "fax_number": "888-783-7111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 N Perryville Rd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611148011",
            "country_code": "US",
            "telephone_number": "815-971-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRICKS",
        "first_name": "JOYCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209012770",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209012770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.