Lynn Wheeler, APN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Rockford, IL
NPI 1295039873 · NPPES record last updated Jul 3, 2014
Key facts
- NPI
- 1295039873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 209.008380 (IL)
- Practice address
- 1021 N Mulford Rd
Rockford, IL 61107-3877 - Phone
- (815) 391-1000
- Fax
- (815) 391-5041
- NPI assigned
- Dec 22, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Aspen Counseling and Consulting LLC
Practice addresses (Care Compare)
8616 Northern Ave
Rockford, IL 61107-5309
Phone (815) 399-9700
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110318000832 | IL | Practitioner - Nurse Practitioner | 5597948109 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 | |
| Rosecrance Inc | Current |
Accepting 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 |
Locations
8616 Northern Ave
Rockford, IL 61107
Phone (815) 332-8003
1601 University Dr
Rockford, IL 61107
Phone (815) 387-2500
1021 N Mulford Rd
Rockford, IL 61107
Phone (815) 387-5600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209.008380 | IL | Yes |
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
Other providers in Rockford, IL
- Catherine J Whalen
- James Paul Whalen
- Tamara Whalen
- Ashley Elizabeth Wheeler
- Lacrisha Nicole Wheeler
- Sofia Catherine Wheeler
- Christopher Whelan
- Nathan Whinnery
- Patrick B Whitaker
- Catherine A White
All providers in Rockford, IL · Psychiatric/Mental Health Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.