Chenin Lee Congrave Rude, APN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

209017674 Issued in IL

Practice address

345 Executive Pkwy Ste M4
Rockford, IL 61107-5291

Phone

(815) 381-8514

Fax

(815) 381-8665

NPI assigned

May 18, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Monroe Clinic, Inc.Group PAC ID 3072425495, 199 clinicians

Rochelle Community Hospital AssociationGroup PAC ID 4789581828, shared by 3 NPIs, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Monroe Clinic Hospital, Monroe, WI, CCN 520028
• Rochelle Community Hospital Hospital, Rochelle, IL, CCN 141312

Merit-based Incentive Payment System (MIPS)

Final score

91.05 of 100Reported as apm

Quality

72.1

Promoting interoperability

100

Improvement activities

40

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Monroe Clinic, Inc.

  dba Monroe Clinic physician group Illinois medicare

  • Family Medicine Physician
  • Freeport, IL
  • NPI 1831254036
  Medicare reassignment Care Compare group NPD
• Jet Healthcare LLC

  • Nurse Practitioner
  • Rockford, IL
  • NPI 1265052401
  Medicare reassignment NPD
• Physicians Immediate Care North Chicago LLC

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1205814118
  Medicare reassignment NPD
• Rochelle Community Hospital Association

  • Family Medicine Physician
  • Rochelle, IL
  • NPI 1568518322
  Medicare reassignment NPD
• Rochelle Community Hospital Association

  • Critical Access Hospital
  • Rochelle, IL
  • NPI 1821053216
  Medicare reassignment NPD
• Rochelle Community Hospital Association

  • Medicare Defined Swing Bed Hospital Unit
  • Rochelle, IL
  • NPI 1346207669
  NPD
• The Monroe Clinic, Inc.

  dba SSM Health Monroe Hospital

  • General Acute Care Hospital
  • Monroe, WI
  • NPI 1740291491
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Rochelle Community Hospital Association

  • Critical Access Hospital
  • Rochelle, IL
  • NPI 1821053216
  Care Compare affiliation
• The Monroe Clinic, Inc.

  dba SSM Health Monroe Hospital

  • General Acute Care Hospital
  • Monroe, WI
  • NPI 1740291491
  Care Compare affiliation

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1679063275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 EXECUTIVE PKWY STE M4",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075291",
            "telephone_number": "815-381-8514",
            "fax_number": "815-381-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 EXECUTIVE PKWY STE M4",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075291",
            "telephone_number": "815-381-8514",
            "fax_number": "815-381-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONGRAVE RUDE",
        "first_name": "CHENIN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209017674",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041388930",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Compton
• Lenore C Conboy, R.D.
• Gina Conde, PHARM.D.
• Lindsey Conevera, LSW
• Confluence Individual and Relationship Counseling LLC
• Jon R Conklin, DDS
• Timothy F Conley, NBC-HIS
• Connect Hearing, Inc.
• Connected Care LLC
• Connected Counseling

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.