Individual provider Active NPI

Bianca Rollins

  • Adult Health Nurse Practitioner
  • Crystal Lake, IL
National Provider Identifier
1750213591
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209.035728 Issued in IL
Practice address
2472 Ajax St
Crystal Lake, IL 60014-3947
Phone
(708) 264-0200
NPI assigned
Jun 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209.035728 IL Primary

Addresses

Primary practice location

2472 Ajax St
Crystal Lake, IL 60014-3947

Mailing address

2472 Ajax St
Crystal Lake, IL 60014-3947
Phone (708) 264-0200

Other practice location 1

533 W North Ave Ste 101
Elmhurst, IL 60126-2100
Phone (312) 738-3355

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
209.035728ILMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1750213591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2472 AJAX ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143947",
            "telephone_number": "708-264-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2472 AJAX ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143947",
            "telephone_number": "708-264-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "533 W North Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "601262100",
            "country_code": "US",
            "telephone_number": "312-738-3355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "BIANCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.035728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.