Individual provider Active NPI

Rachel Brock, FNP

  • Family Nurse Practitioner
  • Waterloo, IL
National Provider Identifier
1700478328
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209022827 Issued in IL
Practice address
907 N Illinois Route 3
Waterloo, IL 62298-1074
Phone
(618) 581-2332
NPI assigned
Feb 4, 2021
Last updated
Feb 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210304001168 IL Practitioner - Nurse Practitioner 6305252040 Reassigns benefits to 7 organizations

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
Telemedico Physicians Pulmonary SCGroup PAC ID 6608294400, 17 clinicians
Telemedico Physicians SCGroup PAC ID 6901103647, 22 clinicians

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 100Reported as group
Quality
75.99
Improvement activities
40
Cost
77.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209022827ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alton Urgent Care Walk in Clinic Company CurrentSince Apr 1, 2021 Accepting new patients
Belleville Urgent Care Walk-in Clinic CurrentSince Feb 17, 2021 Accepting new patients
Waterloo Urgent Care Walk in Clinic Company CurrentSince Apr 1, 2021 Accepting new patients
Ahs Il Medical Group LLC CurrentSince Jun 24, 2024 Accepting new patients
Granite City Urgent Care Walk-in Clinic CurrentSince Feb 17, 2021 Accepting new patients
Telemedico Physicians SC CurrentSince Mar 24, 2025 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.

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

Verify at the official NPI Registry.