Individual provider Active NPI

Greg Myer, N.P

  • Family Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1518633155
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209023686 Issued in IL
Practice address
1401 E State St
Rockford, IL 61104-2298
Phone
(779) 696-0400
NPI assigned
Aug 23, 2021
Last updated
Sep 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209023686 IL Primary

Addresses

Primary practice location

1401 E State St
Rockford, IL 61104-2298

Mailing address

3684 Valerie Rd
Roscoe, IL 61073-8916
Phone (815) 540-6323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230328001736 IL Practitioner - Nurse Practitioner 5193199453 Reassigns benefits to 3 organizations
I20230926000701 WI Practitioner - Nurse Practitioner 5193199453 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedishamerican HospitalGroup PAC ID 5799698346, 386 clinicians

Practice addresses (Care Compare)

3775 N Mulford Rd
Sa Immediate Care
Rockford, IL 61114-5632
Phone (779) 696-9202

Hospital & facility affiliations

  • Uw Health Hospital, Rockford, IL, CCN 140228

Merit-based Incentive Payment System (MIPS)

Final score
85.73 of 100Reported as group
Quality
87.42
Promoting interoperability
100
Improvement activities
40
Cost
65.02

Merit-based Incentive Payment System (MIPS)

Final score
69.34 of 100Reported as group
Quality
87.81
Promoting interoperability
100
Improvement activities
40
Cost
10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edgerton Hospital and Health Services Inc CurrentSince Mar 20, 2024 Accepting new patients
Edgerton Hospital and Health Services Inc. Current Accepting new patients
Swea Fort SC CurrentSince Oct 18, 2024 Accepting new patients
Swedishamerican Hospital CurrentSince Feb 7, 2025 Accepting new patients
Swedishamerican Hospital CurrentSince Feb 7, 2025 Accepting new patients
Stoughton Hospital Association CurrentSince Jan 24, 2024 Accepting new patients
Southern Wisconsin Emergency Associates SC CurrentSince Sep 12, 2023 Accepting new patients
Rockford Emergency Physicians, LLC CurrentSince Aug 20, 2023 Accepting new patients
Stoughton Hospital Association Current Accepting new patients
Stoughton Hospital Association CurrentSince Jan 24, 2024 Accepting new patients
Swedishamerican Hospital Current Accepting new patients
Edgerton Hospital and Health Services, Inc CurrentSince Mar 20, 2024 Accepting new patients

Locations

1625 S State St
Belvidere, IL 61008
Phone (815) 544-1846

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285

3775 N Mulford Rd
Rockford, IL 61114
Phone (779) 696-8400

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

5605 E Rockton Rd
Roscoe, IL 61073
Phone (815) 525-4000

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

11101 N Sherman Rd
Edgerton, WI 53534
Phone (608) 884-1695

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

831 Arthur Dr
Milton, WI 53563
Phone (608) 868-3526

900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1518633155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3684 VALERIE RD",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610738916",
            "telephone_number": "815-540-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042298",
            "telephone_number": "779-696-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYER",
        "first_name": "GREG",
        "credential": "N.P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-23",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.