Nicole Negus, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209.031613 Issued in IL

Practice address

1639 N Alpine Rd FL 3
Rockford, IL 61107-1449

Phone

(815) 229-9333

NPI assigned

Feb 11, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edgebrook Dermatology P.C.Group PAC ID 3476650060, 5 clinicians

Deerfield Dermatology Associates, LTD.Group PAC ID 6204841760, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Deerfield Dermatology Associates, LTD.

  • Dermatology Physician
  • Deerfield, IL
  • NPI 1225127244
  Medicare reassignment Care Compare group NPD
• Edgebrook Dermatology P.C.

  • Dermatology Physician
  • Rockford, IL
  • NPI 1225184948
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1508671199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 W HURON ST APT 1804",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543470",
            "telephone_number": "608-751-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 N ALPINE RD FL 3",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611071449",
            "telephone_number": "815-229-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGUS",
        "first_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.031613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Youth Advocate Program, Inc
• Terra Ann Naumowich, PHARMD
• Karla M Navarro-Vega, PA-C
• Neck to Back Rockford LLC
• Amanda Jane Nedved
• Samantha Jo Neilsen, DC
• Abigail L Nelson VII
• Andrea Nelson, LPC, RN
• Gabrielle Nelson
• Jonathan Ray Nelson, LPTA

• Nurse Practitioner in Rockford, IL
• Providers in Rockford, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.

Verify at the official NPI Registry.