Individual provider Active NPI

Marjorie Hotopp, APN

  • Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1487197356
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.015172 Issued in IL
Practice address
401 Roxbury Rd
Rockford, IL 61107-5075
Phone
(815) 397-7340
Fax
(815) 397-7388
NPI assigned
Nov 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.015172 IL Primary

Addresses

Primary practice location

401 Roxbury Rd
Rockford, IL 61107-5075

Mailing address

401 Roxbury Rd
Rockford, IL 61107-5075
Phone (815) 397-7340

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
I20170216002608 IL Practitioner - Nurse Practitioner 4082997036 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

5666 E State St
Rockford, IL 61108-2425
Phone (815) 921-8929

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.6 of 100Reported as group
Quality
66.79
Promoting interoperability
63
Improvement activities
40
Cost
76.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.015172ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central PA Pharmacy LLC. Current Accepting new patients
Rockford Gastroenterology Associates, LTD. Current Accepting new patients
Osf Multi-Specialty Group CurrentSince May 1, 2025 Accepting new patients
Rockford Gastroenterology Associates, LTD. Nurse Practitioner CurrentSince Jan 16, 2017 Accepting new patients

Locations

109 N Franklin St
Byron, IL 61010
Phone (815) 234-3900

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

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

401 Roxbury Rd
Rockford, IL 61107
Phone (815) 397-7340

534 Roxbury Rd
Rockford, IL 61107
Phone (815) 381-7005

4682 E Rockton Rd
Ste 102
Roscoe, IL 61073
Phone (815) 397-7340

954 W State St
Sycamore, IL 60178
Phone (815) 895-9144

Interoperability endpoints

  • Direct secure messaging: marjorie.hotoppapn.p1@direct.rga.nextgenshare.com

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.

Hospital & facility affiliations 1

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": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1487197356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROXBURY RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075075",
            "telephone_number": "815-397-7340",
            "fax_number": "815-397-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ROXBURY RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075075",
            "telephone_number": "815-397-7340",
            "fax_number": "815-397-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTOPP",
        "first_name": "MARJORIE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.015172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.