Individual provider Active NPI

Julie Vaughan

  • Family Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1376414458
Registry record updated Sep 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20932285 Issued in IL
Practice address
6595 E State St
Rockford, IL 61108-2542
Phone
(815) 226-1300
Fax
(815) 226-1301
NPI assigned
Sep 13, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Immediate Care North Chicago LLC 256 clinicians

Practice addresses (Care Compare)

6595 E State St
Rockford, IL 61108-2542
Phone (815) 226-1300

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251203001776 IL Practitioner - Nurse Practitioner 7416440995 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20932285ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC CurrentSince Jan 12, 2026 Accepting new patients
Physicians Immediate Care LTD PastSince Sep 14, 2025 Accepting new patients

Locations

800 W Fulton Market
Fl 12
Chicago, IL 60607

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

6595 E State St
Rockford, IL 61108
Phone (815) 226-1300

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20932285 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

6595 E State St
Rockford, IL 61108-2542

Mailing address

6595 E State St
Rockford, IL 61108-2542
Phone (815) 226-1300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2025.

{
    "created_epoch": "1757721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757721600000",
    "number": "1376414458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6595 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082542",
            "telephone_number": "815-226-1300",
            "fax_number": "815-226-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082542",
            "telephone_number": "815-226-1300",
            "fax_number": "815-226-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "JULIE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-09-13",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "20932285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.