Active NPI
Joyce Fricks
- Adult Health Nurse Practitioner
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 209012770
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209012770 | IL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Oak Street Health Physicians Group, PC | Current | Accepting new patients | |
| Altea Medical Illinois PLLC | Current | Accepting new patients | |
| Rockford Health Physicians | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Geriatric Medicine (Internal Medicine) Physician
- Chicago Heights, IL
- NPI 1447039227
-
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1083051643
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
IL
-
- Physical Medicine & Rehabilitation Physician
- Oak Brook, IL
- NPI 1700598059
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1629118609
-
- Home Health Agency
- Rockford, IL
- NPI 1093821654
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.