Active NPI
Lynn Wheeler, APN
- Psychiatric/Mental Health Nurse Practitioner
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209.008380
- Practice address
- 1021 N Mulford Rd
Rockford, IL 61107-3877 - Phone
- (815) 391-1000
- Fax
- (815) 391-5041
- NPI assigned
- Dec 22, 2010
- Last updated
- Jul 3, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209.008380 | IL | Primary |
Addresses
Primary practice location
1021 N Mulford Rd
Rockford, IL 61107-3877
Mailing address
1021 N Mulford Rd
Rockford, IL 61107-3877
Phone (815) 391-1000
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8616 Northern Ave
Rockford, IL 61107-5309
Phone (815) 399-9700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.008380 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosecrance Inc | Current | Accepting new patients | |
| Aspen Counseling & Consulting LLC | Current | Accepting new patients | |
| Aspen Counseling and Consulting LLC | Current | Accepting new patients | |
| Rosecrance, Inc. | Current | Accepting new patients | |
| Rosecrance Inc | Current | Accepting new patients |
Locations
1021 N Mulford Rd
Rockford, IL 61107
Phone (815) 387-5600
1601 University Dr
Rockford, IL 61107
Phone (815) 387-2500
8616 Northern Ave
Rockford, IL 61107
Phone (815) 332-8003
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Rockford, IL
- NPI 1326288994
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1013289446
-
dba Rosecrance
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Moline, IL
- NPI 1639892698
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Warrenville, IL
- NPI 1497906655
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, WI
- NPI 1407287394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1295039873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 N MULFORD RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611073877",
"telephone_number": "815-391-1000",
"fax_number": "815-391-5041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 N MULFORD RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611073877",
"telephone_number": "815-391-1000",
"fax_number": "815-391-5041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "LYNN",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-22",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209.008380",
"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 Jul 3, 2014; 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.