Active NPI
Rachel Brock, FNP
- Family Nurse Practitioner
- Waterloo, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209022827
- Practice address
- 907 N Illinois Route 3
Waterloo, IL 62298-1074 - Phone
- (618) 581-2332
- NPI assigned
- Feb 4, 2021
- Last updated
- Feb 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209022827 | IL | Primary |
Addresses
Primary practice location
907 N Illinois Route 3
Waterloo, IL 62298-1074
Mailing address
827 Oxen Dr
Belleville, IL 62221-7910
Phone (618) 581-2332
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3330 Skokie Valley Rd
Suite 200
Highland Park, IL 60035-1041
Phone (847) 386-7744
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.72 of 100
- Quality
- 75.99
- Improvement activities
- 40
- Cost
- 77.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209022827 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alton Urgent Care Walk in Clinic Company | Current | Accepting new patients | |
| Belleville Urgent Care Walk-in Clinic | Current | Accepting new patients | |
| Waterloo Urgent Care Walk in Clinic Company | Current | Accepting new patients | |
| Ahs Il Medical Group LLC | Current | Accepting new patients | |
| Granite City Urgent Care Walk-in Clinic | Current | Accepting new patients | |
| Telemedico Physicians SC | Current | Accepting new patients |
Locations
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
1417 Washington Ave
Alton, IL 62002
Phone (618) 260-0320
2801 W Main St
Belleville, IL 62226
Phone (618) 234-3053
601 W Lincoln Ave
Caseyville, IL 62232
Phone (618) 344-9355
1300 Oak Ave
Evanston, IL 60201
Phone (847) 869-1300
4273 S State Route 159
Fl 2
Glen Carbon, IL 62034
Phone (618) 288-2297
4802 S State Route 159
Glen Carbon, IL 62034
Phone (618) 500-5888
2044 Madison Ave
Ste G7
Granite City, IL 62040
Phone (314) 500-2424
2861 Madison Ave
Granite City, IL 62040
Phone (618) 709-7723
3330 Skokie Valley Rd
Ste 200
Highland Park, IL 60035
Phone 8473867744202
1 Perryman St
Lebanon, IL 62254
Phone (618) 537-6165
1201 N Alton St
Lebanon, IL 62254
Phone (618) 537-4401
1666 Checker Rd
Long Grove, IL 60047
Phone (847) 419-1111
8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500
550 W Frontage Rd
Ste 3700
Northfield, IL 60093
Phone (847) 504-0888
2313 N Rockton Ave
Rockford, IL 61103
Phone (815) 964-2200
1405 N 2nd St
Swansea, IL 62226
Phone (618) 233-6625
150 N 27th St
Swansea, IL 62226
Phone (618) 235-6600
907 N Illinois Route 3
Waterloo, IL 62298
Phone (618) 350-0200
14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100
Organizations & group practices 7
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.
-
- Cardiovascular Disease Physician
- Highland Park, IL
- NPI 1912368150
-
dba Alteas Health
- Pulmonary Disease Physician
- Highland Park, IL
- NPI 1972115384
-
- Clinic/Center
- Granite City, IL
- NPI 1659098101
-
- Family Medicine Physician
- Alton, IL
- NPI 1013521343
-
- Family Medicine Physician
- Belleville, IL
- NPI 1225694946
-
- Urgent Care Clinic/Center
- Granite City, IL
- NPI 1659861953
-
- Family Medicine Physician
- Waterloo, IL
- NPI 1508471418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1700478328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 OXEN DR",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622217910",
"telephone_number": "618-581-2332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 N ILLINOIS ROUTE 3",
"city": "WATERLOO",
"state": "IL",
"postal_code": "622981074",
"telephone_number": "618-581-2332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCK",
"first_name": "RACHEL",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-04",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209022827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.