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Brenda Neshell Sims, FNP

Nurse Practitioner in Rockford, IL. Individual provider (NPI-1).

NPI number1407348337
StatusActive
Last updated in NPPESJul 15, 2024

Details

NPI
1407348337
Entity type
Individual (NPI-1)
Name
Brenda Neshell Sims
Credential
FNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 6, 2018
Certification date
Jul 15, 2024
Last updated
Jul 15, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner209.017659ILYes

Practice location

4215 Newburg Rd
Rockford, IL 61108-6479

Phone 815-988-8500

Mailing address

4215 Newburg Rd
Rockford, IL 61108-6479

Phone 815-988-8500 · Fax 815-977-5956

Other practice locations

2350 Royal Blvd
Elgin, IL 60123-4719

Phone 847-695-8100

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner providers in Rockford, IL

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