Individual provider Active NPI

Melissa Nicole Normoyle, APRN

  • Family Nurse Practitioner
  • Roscoe, IL
National Provider Identifier
1710535950
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209019966 Issued in IL
Practice address
5000 Prairie Rose Dr
Roscoe, IL 61073-7792
Phone
(815) 971-2000
NPI assigned
Aug 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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 209019966 IL Primary

Addresses

Primary practice location

5000 Prairie Rose Dr
Roscoe, IL 61073-7792

Mailing address

5000 Prairie Rose Dr
Roscoe, IL 61073-7792
Phone (815) 971-2000

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
I20191002002993 IL Practitioner - Nurse Practitioner 6507196649 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southerncare, Inc.Group PAC ID 8527977735, 9 clinicians
Northern Illinois Hospice AssociationGroup PAC ID 1355406596, 2 clinicians

Practice addresses (Care Compare)

Buffalo Grove, IL 60089
Phone (847) 777-3346

4751 Harrison Ave
Rockford, IL 61108-7929
Phone (815) 398-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209019966ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Illinois Hospice Association CurrentSince Oct 1, 2025 Accepting new patients
Southerncare, Inc. CurrentSince Apr 10, 2024 Accepting new patients
Rockford Health Physicians CurrentSince Sep 19, 2019 Accepting new patients
Ih Physician Services, PC CurrentSince Apr 10, 2024 Accepting new patients
HCR Manorcare Medical Services of Florida LLC CurrentSince Oct 8, 2023 Accepting new patients

Locations

5400 Riverside Dr
Ste 200
Macon, GA 31210
Phone (478) 477-0101

1110 W Lake Cook Rd
Ste 130A
Buffalo Grove, IL 60089
Phone (847) 777-3346

1110 W Lake Cook Rd
Ste 130
Buffalo Grove, IL 60089
Phone (630) 709-4565

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

600 W Ogden Ave
Hinsdale, IL 60521
Phone (630) 325-9630

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

6000 E State St
Ste 1
Rockford, IL 61108
Phone (815) 397-3691

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

4751 Harrison Ave
Rockford, IL 61108
Phone (815) 398-0500

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

L2540
Columbus, OH 43260

Organizations & group practices 5

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": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1710535950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 PRAIRIE ROSE DR",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737792",
            "telephone_number": "815-971-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 PRAIRIE ROSE DR",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737792",
            "telephone_number": "815-971-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMOYLE",
        "first_name": "MELISSA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roscoe, IL

Sources for this page

Verify at the official NPI Registry.