Active NPI
Brenda Neshell Sims, FNP
- Nurse Practitioner
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.017659
- Practice address
- 4215 Newburg Rd
Rockford, IL 61108-6479 - Phone
- (815) 988-8500
- NPI assigned
- Jun 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.017659 | IL | Primary |
Addresses
Primary practice location
4215 Newburg Rd
Rockford, IL 61108-6479
Mailing address
4215 Newburg Rd
Rockford, IL 61108-6479
Phone (815) 988-8500
Other practice location 1
2350 Royal Blvd
Elgin, IL 60123-4719
Phone (847) 695-8100
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2350 Royal Blvd
Suite 100
Elgin, IL 60123-4718
Phone (847) 695-8100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.017659 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Emergency Physicians, LTD | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Crystal Lake Immediate Care Physicians LTD. | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Elio M Vento MD & Associates SC | Current | Accepting new patients | |
| In Home Medical Group LLC | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Cardinalight Health, LLC | Past | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
525 E Congress Pkwy
Ste 100
Crystal Lake, IL 60014
Phone (626) 327-6795
2350 Royal Blvd
Ste 100
Elgin, IL 60123
Phone (847) 695-8100
1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
4215 Newburg Rd
Rockford, IL 61108
Phone (815) 988-8500
450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123
Interoperability endpoints
- https://api.platform.athenahealth.com/21874/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/FDBJBA
Organizations & group practices 11
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.
-
- Internal Medicine Physician
- Elgin, IL
- NPI 1063635431
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- Emergency Medicine Physician
- Crystal Lake, IL
- NPI 1538517198
-
- Family Nurse Practitioner
- Rockford, IL
- NPI 1497087175
-
- Emergency Medicine Physician
- Barrington, IL
- NPI 1700810470
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
- Family Medicine Physician
- Algonquin, IL
- NPI 1902182108
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Family Nurse Practitioner
- Crystal Lake, IL
- NPI 1760956726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1407348337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4215 NEWBURG RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611086479",
"telephone_number": "815-988-8500",
"fax_number": "815-977-5956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 NEWBURG RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611086479",
"telephone_number": "815-988-8500"
}
],
"practiceLocations": [
{
"address_1": "2350 Royal Blvd",
"address_purpose": "LOCATION",
"city": "Elgin",
"state": "IL",
"postal_code": "601234719",
"country_code": "US",
"telephone_number": "847-695-8100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMS",
"first_name": "BRENDA",
"middle_name": "NESHELL",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-06",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.017659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 15, 2024; 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.