Individual provider Active NPI

Jack S Harweger, AGACNP-BC

  • Gerontology Nurse Practitioner
  • Freeport, IL
National Provider Identifier
1396170205
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
277003875 Issued in IL
Practice address
1036 W Stephenson St
Freeport, IL 61032-4865
Phone
(815) 599-7715
NPI assigned
Sep 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209-010694 IL
Gerontology Nurse Practitioner 363LG0600X 277003875 IL Primary
Cardiovascular Disease Physician 207RC0000X 209-010694 IL
Registered Nurse 163W00000X 041-358671 IL

Addresses

Primary practice location

1036 W Stephenson St
Freeport, IL 61032-4865

Mailing address

PO Box 857
Freeport, IL 61032-0857
Phone (815) 599-7950

Other practice location 1

444 Roxbury Rd
Rockford, IL 61107-5059
Phone (815) 398-3000

Other practice location 2

1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-7866

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
I20140311001642 IL Practitioner - Nurse Practitioner 1153388087 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeport Regional Health Care FoundationGroup PAC ID 9234041682, 86 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

1036 W Stephenson St
Freeport, IL 61032-4865
Phone (815) 599-6000

1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000

2107 Chicago Ave
Savanna, IL 61074-1716
Phone (815) 273-3323

3001 Highland View Dr
Freeport, IL 61032-6942
Phone (815) 235-3165

444 Roxbury Rd
Rockford, IL 61107-5059
Phone (815) 398-3000

600 N Rush St
Stockton, IL 61085-1010
Phone (815) 947-3211

602 W Olympic Dr
Lanark, IL 61046-9105
Phone (815) 493-2831

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

  • FHN Memorial Hospital Hospital, Freeport, IL, CCN 140160
  • Saint Anthony Medical Center Hospital, Rockford, IL, CCN 140233

Merit-based Incentive Payment System (MIPS)

Final score
87.08 of 100Reported as group
Quality
86.25
Improvement activities
40
Cost
77.17

Merit-based Incentive Payment System (MIPS)

Final score
83.84 of 100Reported as group
Quality
75.22
Promoting interoperability
92
Improvement activities
40
Cost
73.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041-358671ILMDRegistered Nurse
209-010694ILMDCardiovascular Disease Physician
277003875ILMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Jan 28, 2026 Accepting new patients
Freeport Regional Health Care Foundation CurrentSince Mar 23, 2019 Accepting new patients
Freeport Memorial Hospital CurrentSince Feb 4, 2014 Accepting new patients
Freeport Memorial Hospital PastSince Jun 16, 2024 Accepting new patients

Locations

421 W Exchange St
Freeport, IL 61032
Phone (815) 599-7300

1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105

1036 W Stephenson St
Freeport, IL 61032
Phone (815) 599-7410

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

444 Roxbury Rd
Rockford, IL 61107
Phone (815) 395-9196

600 N Rush St
Stockton, IL 61085
Phone (815) 235-3165

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
FHN HospiceFreeport, IL, CCN 141560 Hospice Corporate Director Feb 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 2

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": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1396170205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 857",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610320857",
            "telephone_number": "815-599-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 W STEPHENSON ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324865",
            "telephone_number": "815-599-7715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 Roxbury Rd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611075059",
            "country_code": "US",
            "telephone_number": "815-398-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1045 W Stephenson St",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610324864",
            "country_code": "US",
            "telephone_number": "815-599-7866",
            "fax_number": "815-599-6933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARWEGER",
        "first_name": "JACK",
        "middle_name": "S",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-10",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-010694",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "277003875",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "209-010694",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041-358671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, IL

Sources for this page

Verify at the official NPI Registry.