Individual provider Active NPI

Niccole Ranz, F.N.P.-C

  • Family Medicine Physician
  • Rockford, IL
National Provider Identifier
1194897223
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
209-003861 Issued in IL
Practice address
2222 E State St
Suite 209
Rockford, IL 61104-1573
Phone
(815) 988-8500
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 209-003861 IL Primary

Addresses

Primary practice location

2222 E State St
Suite 209
Rockford, IL 61104-1573

Mailing address

2222 E State St
Suite 209
Rockford, IL 61104-1573
Phone (815) 988-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050602000200 IL Practitioner - Nurse Practitioner 4880637701 Reassigns benefits to 2 organizations
I20170106001017 WI Practitioner - Nurse Practitioner 4880637701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
58.33 of 100Reported as group
Quality
41.25
Promoting interoperability
0
Improvement activities
40
Cost
69.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-003861ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
In Home Medical Group LLC CurrentSince Feb 1, 2010 Accepting new patients
Rockford Gastroenterology Associates, LTD. CurrentSince Jan 1, 2026 Accepting new patients
Neurobehavioral Health Connections, LTD Past Accepting new patients
Robert M Pasen PHD PC Past Accepting new patients
Housecall Physicians Group of Rockford S C Family Medicine Past Accepting new patients

Locations

5666 E State St
Rockford, IL 61108
Phone (815) 226-2000

401 Roxbury Rd
Rockford, IL 61107
Phone (815) 397-7340

534 Roxbury Rd
Rockford, IL 61107
Phone (815) 381-7005

4215 Newburg Rd
Rockford, IL 61108
Phone (815) 988-8500

2222 E State St
Ste 209
Rockford, IL 61104
Phone (815) 988-8500

1905 W Hart Rd
Beloit, WI 53511
Phone (608) 365-2554

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1194897223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 E STATE ST",
            "address_2": "SUITE 209",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611041573",
            "telephone_number": "815-988-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E STATE ST",
            "address_2": "SUITE 209",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611041573",
            "telephone_number": "815-988-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANZ",
        "first_name": "NICCOLE",
        "credential": "F.N.P.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "209-003861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.