Individual provider Active NPI

Sylvia Ann Garza, APN-BC

  • Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1588800700
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.007375 Issued in IL
Practice address
1200 State Street
Crusader Clinic
Rockford, IL 61102
Phone
(815) 490-1600
NPI assigned
Dec 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209007375 IL
Nurse Practitioner 363L00000X 209.007375 IL Primary

Addresses

Primary practice location

1200 State Street
Crusader Clinic
Rockford, IL 61102

Mailing address

1200 W State St
Crusader Clinic
Rockford, IL 61102-2112
Phone (815) 490-1600

Other identifiers 4

IdentifierTypeStateIssuer
209007375OtherILIL LICENSE
421060724003MedicaidIL
1710971486MedicaidIA
8122859OtherILBC/BS IL GROUP

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
I20110308001021 IL Practitioner - Nurse Practitioner 8921280272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

6830 Villagreen VW
Rockford, IL 61107-5639
Phone (815) 282-1339

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Jul 23, 2024 Accepting new patients
Applebaum Physiatry PLLC CurrentSince Apr 24, 2024 Accepting new patients
Medchoice Medical Center LTD PastSince Apr 19, 2010 Accepting new patients
Paragon Clinical Midwest, LLC Nurse Practitioner Past Accepting new patients

Locations

745 McClintock Dr
Ste 360
Burr Ridge, IL 60527
Phone (630) 506-1245

5061 N Pulaski Rd
Chicago, IL 60630
Phone (773) 478-1186

6131 Park Ridge Rd
Loves Park, IL 61111
Phone (815) 543-0545

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

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

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

6830 Villagreen Vw
Rockford, IL 61107
Phone (815) 282-1339

409 W Comanche Ave
Shabbona, IL 60550
Phone (815) 824-2194

128 S East St
Unit 1109
Crown Point, IN 46308

Organizations & group practices 5

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 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": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1588800700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W STATE ST",
            "address_2": "CRUSADER CLINIC",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611022112",
            "telephone_number": "815-490-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 STATE STREET",
            "address_2": "CRUSADER CLINIC",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61102",
            "telephone_number": "815-490-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "SYLVIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "APN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209007375",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.007375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL LICENSE",
            "identifier": "209007375",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421060724003",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710971486",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS IL GROUP",
            "identifier": "8122859",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.