Active NPI
Chelsea Smith, FNP-BC
- Family Nurse Practitioner
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.018379
- Practice address
- 1340 Charles St Ste 300
Rockford, IL 61104-2200 - Phone
- (779) 696-5888
- NPI assigned
- Oct 15, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.018379 | IL | Primary |
Addresses
Primary practice location
1340 Charles St Ste 300
Rockford, IL 61104-2200
Mailing address
PO Box 78866
Milwaukee, WI 53278-8866
Phone (779) 696-7150
Other practice location 1
1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F400584619 | Other | IL | MEDICARE PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | csmith1135114@direct.uwhealth.org |
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1036 W Stephenson St
Freeport, IL 61032-4865
Phone (815) 599-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.018379 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeport Regional Health Care Foundation | Current | Accepting new patients | |
| Freeport Memorial Hospital | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients | |
| Applebaum Physiatry PLLC | Family | Current | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
5061 N Pulaski Rd
Chicago, IL 60630
Phone (773) 478-1186
1036 W Stephenson St
Freeport, IL 61032
Phone (815) 599-7410
1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105
811 S 10th St
Oregon, IL 61061
Phone (815) 732-7994
2203 Flagg Rd
Rochelle, IL 61068
Phone (815) 562-9800
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
600 N Rush St
Stockton, IL 61085
Phone (815) 235-3165
128 S East St
Unit 1109
Crown Point, IN 46308
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Freeport, IL
- NPI 1457337016
-
- Physical Medicine & Rehabilitation Physician
- Oak Brook, IL
- NPI 1700598059
Family
-
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1346716693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 78866",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532788866",
"telephone_number": "779-696-7150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 CHARLES ST STE 300",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611042200",
"telephone_number": "779-696-5888"
}
],
"practiceLocations": [
{
"address_1": "1045 W Stephenson St",
"address_purpose": "LOCATION",
"city": "Freeport",
"state": "IL",
"postal_code": "610324864",
"country_code": "US",
"telephone_number": "815-599-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "CHELSEA",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-15",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.018379",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "F400584619",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "csmith1135114@direct.uwhealth.org",
"affiliation": "N",
"address_1": "1340 Charles St Ste 300",
"city": "Rockford",
"state": "IL",
"country_code": "US",
"postal_code": "611042200",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 28, 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.