Individual provider Active NPI

Brittany N Frisella, APN

  • Family Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1710174248
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277000601 Issued in IL
Practice address
4519 Highcrest Rd
Rockford, IL 61107-2225
Phone
(815) 985-3090
NPI assigned
Sep 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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 277000601 IL Primary

Addresses

Primary practice location

4519 Highcrest Rd
Rockford, IL 61107-2225

Mailing address

528 Castle Wynd Dr
Loves Park, IL 61111-8967
Phone (815) 985-3090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277000601ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pic Wisconsin SC PastSince Sep 25, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1710174248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 CASTLE WYND DR",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611118967",
            "telephone_number": "815-985-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 HIGHCREST RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611072225",
            "telephone_number": "815-985-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISELLA",
        "first_name": "BRITTANY",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277000601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.