Individual provider Active NPI

Robin L Rose, APRN, FNP-BC

  • Family Medicine Physician
  • Princeton, IL
National Provider Identifier
1740903012
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
209025937 Issued in IL
Practice address
535 Park Ave E
Princeton, IL 61356-2537
Phone
(815) 875-4531
NPI assigned
Sep 22, 2022
Last updated
Sep 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 209025937 IL Primary

Addresses

Primary practice location

535 Park Ave E
Princeton, IL 61356-2537

Mailing address

22 Tip Ave
Oglesby, IL 61348-1340
Phone (815) 347-2402

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
I20221207000316 IL Practitioner - Nurse Practitioner 4688043086 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Healthcare SystemGroup PAC ID 4284541806, 94 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
Ihcc Hospice IncGroup PAC ID 6709206196, 2 clinicians

Practice addresses (Care Compare)

1000 W Harlem Ave
Monmouth, IL 61462-1007
Phone (309) 734-3141

327 Edward St
Osf Healthcare Medical Group Henry
Henry, IL 61537-1539
Phone (309) 364-2002

530 Park Ave E
Princeton, IL 61356-3901
Phone (815) 875-2811

535 Park Ave E
Princeton, IL 61356-2537
Phone (815) 875-4531

602 N Main St
Princeton, IL 61356-1329
Phone (815) 343-0572

680 W Peru St
Princeton, IL 61356-6803

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ihcc Hospice Inc CurrentSince Mar 20, 2025 Accepting new patients
Osf Healthcare System CurrentSince Nov 27, 2022 Accepting new patients
Osf Healthcare System CurrentSince Nov 27, 2022 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Healthcare System Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Jul 11, 2023 Accepting new patients
Cardinal Medical Group, LTD. Family Medicine Past Accepting new patients

Locations

327 Edward St
Henry, IL 61537
Phone (309) 364-2002

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

530 Park Ave E
Princeton, IL 61356
Phone (815) 875-2811

535 Park Ave E
Princeton, IL 61356
Phone (815) 875-4531

602 N Main St
Princeton, IL 61356
Phone (815) 343-0572

680 W Peru St
Princeton, IL 61356
Phone (815) 343-0572

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1740903012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 TIP AVE",
            "city": "OGLESBY",
            "state": "IL",
            "postal_code": "613481340",
            "telephone_number": "815-347-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 PARK AVE E",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562537",
            "telephone_number": "815-875-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ROBIN",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "209025937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IL

Sources for this page

Verify at the official NPI Registry.