| Ms Kelly D Rosenberger, CNM, NP | |
|
1221 E State St, Rockford, IL 61104-2231 | |
| (815) 972-1000 | |
| (815) 972-1086 |
| Full Name | Ms Kelly D Rosenberger |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 1221 E State St, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790760080 | NPI | - | NPPES |
| 209000443 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 209000443 (Illinois) | Secondary |
| 367A00000X | Advanced Practice Midwife | 209008138 (Illinois) | Primary |
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kelly D Rosenberger, CNM, NP 1601 Parkview Ave, Credentialing S200, Rockford, IL 61107-1822 Ph: (815) 395-5861 | Ms Kelly D Rosenberger, CNM, NP 1221 E State St, Rockford, IL 61104-2231 Ph: (815) 972-1000 |
Mary S Mather, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 5970 Churchview Dr, Rockford, IL 61107 Phone: 815-971-2000 | |
Jennifer Oerkfitz, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1485 | |
Mrs. Renee Lynn Keeney, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1200 W. State Street, Crusader Community Health, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1485 | |
Paula Marin, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Deborah Wodell, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Dana Hoffman, C.N.M. Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1485 | |
Mrs. Heather Moon Piper, R.N., M.S., C.N.M. Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1100 Broadway, Rockford, IL 61104 Phone: 815-490-1600 |