Individual provider Active NPI

Lindsay Bennett

  • Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1578439865
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.033486 Issued in IL
Practice address
401 Roxbury Rd
Rockford, IL 61107-5078
Phone
(815) 484-7834
NPI assigned
Oct 14, 2025
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.033486 IL Primary
Family Nurse Practitioner 363LF0000X 209033486 IL

Addresses

Primary practice location

401 Roxbury Rd
Rockford, IL 61107-5078

Mailing address

401 Roxbury Rd
Rockford, IL 61107-5078
Phone (815) 484-7834

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
I20251105001453 IL Practitioner - Nurse Practitioner 6901396332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.033486ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Gastroenterology Associates, LTD. Nurse Practitioner CurrentSince Oct 20, 2025 Accepting new patients
Rockford Gastroenterology Associates, LTD. Current Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: lindsay.bennettapn.p1@direct.rga.nextgenshare.com

Organizations & group practices 2

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 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": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1578439865",
    "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": "611075078",
            "telephone_number": "815-484-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ROXBURY RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075078",
            "telephone_number": "815-484-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "LINDSAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-14",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.033486",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209033486",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.