Individual provider Active NPI

Danielle Jordal, APN

  • Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1639429855
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209-009786 Issued in IL
Practice address
1340 Charles St Ste 300
Rockford, IL 61104-2200
Phone
(779) 696-5888
NPI assigned
Sep 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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 209-009786 IL Primary

Addresses

Primary practice location

1340 Charles St Ste 300
Rockford, IL 61104-2200

Mailing address

PO Box 1567
Rockford, IL 61110-0067

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
I20130412000394 IL Practitioner - Nurse Practitioner 9133365323 Reassigns benefits to 2 organizations
I20241112000511 WI Practitioner - Nurse Practitioner 9133365323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Home Physicians LLCGroup PAC ID 4981988771, 81 clinicians

Practice addresses (Care Compare)

1 S450 Summit Ave
Suite 165
Oakbrook Terrace, IL 60181-3952
Phone (630) 320-6871

Hospital & facility affiliations

  • Northwest Home Health & Rehab Home health agency, Lake in the Hills, IL, CCN 147824
  • Focus Home Health Care, Inc Home health agency, Chicago, IL, CCN 147947
  • American Family Home Health Services LLC Home health agency, Huntley, IL, CCN 148370
  • Unity Hospice of Western Illinois Hospice, Rochelle, IL, CCN 141614
  • Mo Chara Hospice LLC Hospice, Cherry Valley, IL, CCN 141737

Merit-based Incentive Payment System (MIPS)

Final score
58.33 of 100Reported as group
Quality
41.25
Promoting interoperability
0
Improvement activities
40
Cost
69.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-009786ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Home Physicians, LLC CurrentSince Jan 15, 2025 Accepting new patients
In Home Medical Group LLC CurrentSince Aug 1, 2015 Accepting new patients
The SNF Group, PLLC Past Accepting new patients

Locations

1S450 Summit Ave
Ste 165
Oakbrook Terrace, IL 60181
Phone (630) 320-6871

1S450 Summit Ave
Ste 270
Oakbrook Terrace, IL 60181

1340 Charles St
Ste 300
Rockford, IL 61104
Phone (779) 696-5888

4215 Newburg Rd
Rockford, IL 61108
Phone (815) 988-8500

1905 W Hart Rd
Beloit, WI 53511
Phone (608) 365-2554

Organizations & group practices 3

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 5

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": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1639429855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1567",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611100067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 CHARLES ST STE 300",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042200",
            "telephone_number": "779-696-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAL",
        "first_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-009786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.