Individual provider Active NPI

Erin Miller

  • Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1972219624
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209027852 Issued in IL
Practice address
3775 N Mulford Rd
Rockford, IL 61114-5632
Phone
(779) 696-9202
NPI assigned
Jan 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041402742 IL
Nurse Practitioner 363L00000X 209027852 IL Primary

Addresses

Primary practice location

3775 N Mulford Rd
Rockford, IL 61114-5632

Mailing address

11745 Deacon Dr
Rockton, IL 61072-9411
Phone (815) 822-2914

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
I20231003003712 IL Practitioner - Nurse Practitioner 0345694782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14509 State Route 127
Carlyle, IL 62231-6485
Phone (618) 594-8924

9401 Holy Cross LN
Suite 112
Breese, IL 62230-3510
Phone (618) 526-7271

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Breese, IL, CCN 140145

Merit-based Incentive Payment System (MIPS)

Final score
81.51 of 100Reported as group
Quality
83.2
Promoting interoperability
77
Improvement activities
40
Cost
71.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041402742ILMDRegistered Nurse
209027852ILMDNurse Practitioner
209027301ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Medical Group Inc CurrentSince Mar 31, 2025 Accepting new patients
St Josephs Hospital Breese of the Hospital Sisters of the Third Orde CurrentSince Mar 31, 2025 Accepting new patients
St Josephs Hospital Breese of the Hospital Sisters of the Third Orde Current Accepting new patients
St Josephs Hospital Breese of the Hospital Sisters of the Third Orde CurrentSince Mar 31, 2025 Accepting new patients
HSHS Medical Group Inc CurrentSince Mar 31, 2025 Accepting new patients
HSHS Medical Group Inc Past Accepting new patients

Locations

9401 Holy Cross Ln
#112
Breese, IL 62230
Phone (618) 526-7271

9401 Holy Cross Ln
Ste 112
Breese, IL 62230
Phone (618) 206-2082

9401 Holy Cross Ln
Breese, IL 62230
Phone (618) 526-5948

14509 State Route 127
Carlyle, IL 62231
Phone (618) 594-3613

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

9515 Holy Cross Ln
Saint Rose, IL 62230
Phone (618) 526-4511

3051 Hollis Dr
Fl 2
Springfield, IL 62704
Phone (217) 321-9321

Interoperability endpoints

  • Direct secure messaging: emiller473326@ewd.direct.hshs.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1972219624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11745 DEACON DR",
            "city": "ROCKTON",
            "state": "IL",
            "postal_code": "610729411",
            "telephone_number": "815-822-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 N MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611145632",
            "telephone_number": "779-696-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041402742",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209027852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.