Active NPI
Tammy J. Flanders, APN
- Family Nurse Practitioner
- Sycamore, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2013017052
- Practice address
- 661 S Peace Rd
Sycamore, IL 60178-1642 - Phone
- (815) 991-3571
- Fax
- (815) 991-3572
- NPI assigned
- Jun 30, 2014
- Last updated
- Mar 9, 2026
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5994-33 | WI | |
| Family Nurse Practitioner | 363LF0000X | 2013017052 | IL | Primary |
Addresses
Primary practice location
661 S Peace Rd
Sycamore, IL 60178-1642
Mailing address
1200 W State St
Rockford, IL 61102-2112
Phone (815) 490-1600
Other practice location 1
1200 W State St
Rockford, IL 61102-2112
Phone (815) 490-1600
Other names 1
- Tammy J. Brannon
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260318003130 | IL | Order and Referring Only - Nurse Practitioner | 6305066333 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Crusaders Central Clinic Association
Practice addresses (Care Compare)
1100 Broadway
Rockford, IL 61104-1429
Phone (815) 490-1600
1200 W State St
Rockford, IL 61102-2112
Phone (815) 490-1600
1215 N Alpine Rd
Rockford, IL 61107-2201
Phone (815) 490-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5994-33 | WI | MD | Nurse Practitioner |
| 2013017052 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Crusaders Central Clinic Association | Past | Accepting new patients | |
| Cardinal Medical Group, LTD. | Past | Accepting new patients |
Locations
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Multi-Specialty Clinic/Center
- Peoria, IL
- NPI 1992829485
-
dba Crusader Clinic
- Federally Qualified Health Center (FQHC)
- Rockford, IL
- NPI 1902972557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1265847131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611022112",
"telephone_number": "815-490-1600",
"fax_number": "815-490-1881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 S PEACE RD",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601781642",
"telephone_number": "815-991-3571",
"fax_number": "815-991-3572"
}
],
"practiceLocations": [
{
"address_1": "1200 W State St",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611022112",
"country_code": "US",
"telephone_number": "815-490-1600",
"fax_number": "815-490-1881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLANDERS",
"first_name": "TAMMY",
"middle_name": "J.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-30",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "5994-33",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "2013017052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAMMY",
"last_name": "BRANNON",
"middle_name": "J.",
"credential": "N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sycamore, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.