Active NPI
Robin L Rose, APRN, FNP-BC
- Family Medicine Physician
- Princeton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 209025937
- Practice address
- 535 Park Ave E
Princeton, IL 61356-2537 - Phone
- (815) 875-4531
- NPI assigned
- Sep 22, 2022
- 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 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221207000316 | IL | Practitioner - Nurse Practitioner | 4688043086 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209025937 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Healthcare System | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Ihcc Hospice Inc | Current | Accepting new patients | |
| Osf Healthcare System | Current | 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
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
530 Park Ave E
Princeton, IL 61356
Phone (815) 875-2811
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 and National Provider Directory roles.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Princeton, IL
- NPI 1023716875
IL
-
- Community Based Hospice Care Agency
- Princeton, IL
- NPI 1114525243
-
- Rural Health Clinic/Center
- Princeton, IL
- NPI 1417542804
-
- General Acute Care Hospital
- Dixon, IL
- NPI 1508683590
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
Hospital
-
- Home Health Agency
- Loves Park, IL
- NPI 1023051992
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 SystemOsf Multi-Specialty GroupIhcc Hospice Inc
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
- Osf Healthcare Home Care
- Osf Saint Clare Medical Center
- Saint Francis Medical Center
- Osf Saint Luke Medical Center
- Carle Health Methodist Hospital
- Osf Saint Elizabeth MDL Ctr
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
- Angela Reidner, RN, MS, CNM
- Residential Alternatives of Illinois Inc
- Residential Alternatives of Illinois Inc
- Heather Lee Reynolds, D.D.S.
- Rebekka J Root, FNP
- Petrita Laverne Salazar, LCPC
- Miles Todd Salsman, C.R.N.A.
- Diane Schaffer-Vandenborre
- Patricia Elizabeth Schofield, L.C.S.W.
- Michelle Leigh Schramm, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.