Active NPI
Quincy Maude Embrey, APRN
- Nurse Practitioner
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209024866
- Practice address
- 1340 Charles St Ste 100
Rockford, IL 61104-2200 - Phone
- (779) 696-6888
- NPI assigned
- May 9, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209024866 | IL | Primary |
Addresses
Primary practice location
1340 Charles St Ste 100
Rockford, IL 61104-2200
Mailing address
1340 Charles St Ste 100
Rockford, IL 61104-2200
Phone (779) 696-6888
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 |
|---|---|---|---|---|
| I20220531000342 | IL | Practitioner - Nurse Practitioner | 3779961941 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Swedishamerican Hospital
Practice addresses (Care Compare)
1340 Charles St
Rockford, IL 61104-2200
1401 E State St
Rockford, IL 61104-2315
Phone (815) 489-4400
6824 Newburg Rd
Sa Valley
Rockford, IL 61108-4330
Phone (779) 696-7610
Hospital & facility affiliations
- Swedishamerican HH Care Med S
- Uw Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.51 of 100
- Quality
- 83.2
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 71.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedishamerican Hospital | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Swedishamerican Hospital | Nurse Practitioner | Current | Accepting new patients |
Locations
1340 Charles St
Ste 100
Rockford, IL 61104
Phone (779) 696-1900
2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285
6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610
1340 Charles St
Ste 300
Rockford, IL 61104
Phone (779) 696-5888
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
Organizations & group practices 10
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.
-
- Community/Retail Pharmacy
- Rockford, IL
- NPI 1013401033
-
- Home Health Agency
- Rockford, IL
- NPI 1255439774
-
- Home Infusion Agency
- Rockford, IL
- NPI 1285720763
-
- Family Medicine Physician
- Roscoe, IL
- NPI 1386054062
-
- Community/Retail Pharmacy
- Rockford, IL
- NPI 1588093942
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
-
- Pharmacy
- Rockford, IL
- NPI 1891341939
-
- Community/Retail Pharmacy
- Rockford, IL
- NPI 1306635982
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rockford, IL
- NPI 1255439774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1760128052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 CHARLES ST STE 100",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611042200",
"telephone_number": "779-696-6888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 CHARLES ST STE 100",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611042200",
"telephone_number": "779-696-6888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMBREY",
"first_name": "QUINCY",
"middle_name": "MAUDE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-09",
"last_updated": "2022-05-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209024866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.