Individual provider Active NPI

Jessica Weiland, NP

  • Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1336768662
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
020769 Issued in IL
Practice address
612 Roxbury Rd
Rockford, IL 61107-5089
Phone
(815) 227-8300
Fax
(815) 227-8301
NPI assigned
Apr 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 020769 IL Primary
Family Nurse Practitioner 363LF0000X 209.020769 IL

Addresses

Primary practice location

612 Roxbury Rd
Rockford, IL 61107-5089

Mailing address

612 Roxbury Rd
Rockford, IL 61107-5089
Phone (815) 227-8300

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
I20200507002633 IL Practitioner - Nurse Practitioner 2163853110 Reassigns benefits to 1 organization
I20251208003938 WI Practitioner - Nurse Practitioner 2163853110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rna of Rockford, PLLCGroup PAC ID 3870662398, 18 clinicians

Practice addresses (Care Compare)

1401 E State St
Rockford, IL 61104-2315
Phone (815) 968-4400

1969 W Hart Rd
Beloit, WI 53511-2230
Phone (815) 227-8300

2540 Hauser Ross Dr
200 Davita Crimson Ridge Home Training
Sycamore, IL 60178-3171
Phone (815) 748-3508

3339 N Rockton Ave
Rockford, IL 61103-2839
Phone (815) 636-4493

5666 E State St
Rockford, IL 61108-2425
Phone (815) 226-2000

612 Roxbury Rd
Rockford, IL 61107-5089
Phone (815) 227-8300

622 Roxbury Rd
Rockford, IL 61107-5089
Phone (815) 397-0713

Hospital & facility affiliations

  • Saint Anthony Medical Center Hospital, Rockford, IL, CCN 140233
  • Uw Health Hospital, Rockford, IL, CCN 140228
  • Northwestern Medicine Kishwaukee Hospital Hospital, Dekalb, IL, CCN 140286

Merit-based Incentive Payment System (MIPS)

Final score
94.99 of 100Reported as group
Quality
83.04
Promoting interoperability
100
Improvement activities
40
Cost
77.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020769ILMDNurse Practitioner
209.020769ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rna of Rockford, PLLC CurrentSince Jun 1, 2020 Accepting new patients

Locations

1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521

215 E 1st St
Dixon, IL 61021
Phone (815) 285-5591

403 E 1st St
Dixon, IL 61021
Phone (815) 285-5629

215 E 1st St
Ste 153
Dixon, IL 61021
Phone (815) 285-5484

900 N 2nd St
Rochelle, IL 61068
Phone (815) 562-2181

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

1311 Parkview Ave
Rockford, IL 61107
Phone (815) 399-8832

950 S Mulford Rd
Rockford, IL 61108
Phone (815) 381-8500

612 Roxbury Rd
Rockford, IL 61107
Phone (815) 227-8300

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

2127 Midlands Ct
Unit 102
Sycamore, IL 60178
Phone (815) 758-3057

225 Edward St
Sycamore, IL 60178
Phone (815) 225-2144

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

Interoperability endpoints

  • Direct secure messaging: jessica.weiland.1@19234.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1336768662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 ROXBURY RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075089",
            "telephone_number": "815-227-8300",
            "fax_number": "815-227-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 ROXBURY RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075089",
            "telephone_number": "815-227-8300",
            "fax_number": "815-227-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILAND",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "020769",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.020769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.