Timothy Rupnow, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209015487 Issued in IL

Practice address

1010 Fairway Dr
Freeport, IL 61032-6600

Phone

(815) 599-7880

Fax

(815) 599-7888

NPI assigned

Jan 24, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freeport Regional Health Care Foundation 86 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tri-State Home Healthcare, LLC Home health agency, Freeport, IL, CCN 148365
• FHN Memorial Hospital Hospital, Freeport, IL, CCN 140160
• Uw Health Hospital, Rockford, IL, CCN 140228

Merit-based Incentive Payment System (MIPS)

Final score

83.84 of 100Reported as group

Quality

75.22

Promoting interoperability

92

Improvement activities

40

Cost

73.11

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Freeport Regional Health Care Foundation

  • Family Medicine Physician
  • Freeport, IL
  • NPI 1457337016

  IL

  Medicare reassignment Care Compare group
• Freeport Memorial Hospital

  • General Acute Care Hospital
  • Freeport, IL
  • NPI 1447228788

  IL

  Medicare reassignment NPD
• Freeport Regional Health Care Foundation

  • Durable Medical Equipment & Medical Supplies
  • Freeport, IL
  • NPI 1003068909
  Care Compare group
• Freeport Regional Health Care Foundation

  • Durable Medical Equipment & Medical Supplies
  • Freeport, IL
  • NPI 1043355100
  Care Compare group
• Freeport Regional Health Care Foundation

  • Durable Medical Equipment & Medical Supplies
  • Lena, IL
  • NPI 1174667430
  Care Compare group
• Freeport Memorial Hospital

  • Health Educator
  • Freeport, IL
  • NPI 1326880386
  NPD (past)

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

• Freeport Memorial Hospital

  • General Acute Care Hospital
  • Freeport, IL
  • NPI 1447228788

  Hospital

  Care Compare affiliation
• Swedishamerican Hospital

  • General Acute Care Hospital
  • Rockford, IL
  • NPI 1760542732

  Hospital

  Care Compare affiliation
• Tri-State Home Healthcare, LLC

  • Home Health Agency
  • Freeport, IL
  • NPI 1154663995
  Care Compare affiliation

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1699212043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610320268",
            "telephone_number": "815-599-7950",
            "fax_number": "815-599-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 FAIRWAY DR",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326600",
            "telephone_number": "815-599-7880",
            "fax_number": "815-599-7888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 W Exchange St",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610324008",
            "country_code": "US",
            "telephone_number": "815-599-7925",
            "fax_number": "815-599-7923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUPNOW",
        "first_name": "TIMOTHY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosecrance Inc
• Rosecrance Inc
• Rosecrance Inc
• Sherry A Roskam, MS, LMFT
• Julianne Ross
• Kwynsee Renea Russell, MS, CCC-SLP
• Rovinder Singh Saini, MD
• Carlos Sanchez, MD
• Jenna Schardt
• Gayle Scheetz, PA C

• All providers in Freeport, IL
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.