TYLER JAMES RAFFERTY FNP-BC
NPI 1003596263
Nurse Practitioner - Family in Rockford, IL

Active since July 24, 2023PECOS EnrolledAccepts Medicare Assignment
5666 E STATE ST, ROCKFORD, IL 61108(815) 226-2000 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tyler James Rafferty Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER JAMES RAFFERTY FNP-BC (NPI 1003596263) is an individual family provider in Rockford, Illinois, licensed in Illinois (209027848) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, is affiliated with Katherine Shaw Bethea Hospital, and maintains a secondary practice location in Rockford.

NPPES Registry Identity

NPI1003596263
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTYLER JAMES RAFFERTYCredential: FNP-BC
Location Address5666 E STATE STRockford, IL 61108-2425
Mailing Address3739 W Cedarville RdFreeport, IL 61032-8533 · (815) 721-3796
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 24, 2023
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
NPI 1003596263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209027848
5666 E STATE ST, Rockford, IL 61108

Secondary Practice Location 1

Location 1698 Featherstone Rd Ste 150Rockford, IL 61107-6303 · Phone (815) 387-1717

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tyler James Rafferty Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729432372
PECOS Enrollment IDI20230929002623
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services45 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services38 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
21 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services13 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Katherine Shaw Bethea Hospital

Acute Care Hospitals · Dixon, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140012
Location403 E 1st StDixon, IL 61021 · Lee County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Osf Saint Paul Medical Center

Critical Access Hospitals · Mendota, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number141310
Location1401 E 12th StreetMendota, IL 61342 · La Salle County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
5666 E STATE ST
ROCKFORD, IL 61108
Internal Medicine
5666 E STATE ST
ROCKFORD, IL 61108
Nurse Anesthetist, Certified Registered
5666 E STATE ST
ROCKFORD, IL 61108
Radiology (Diagnostic Radiology)
5666 E STATE ST
ROCKFORD, IL 61108
Nurse Practitioner (Family)
5666 E STATE ST
ROCKFORD, IL 61108
Physical Therapist
5666 E STATE ST
ROCKFORD, IL 61108
Internal Medicine
5666 E STATE ST
ROCKFORD, IL 61108
Speech-Language Pathologist
5666 E STATE ST
ROCKFORD, IL 61108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Rafferty's NPI number?

The NPI number for Tyler Rafferty is 1003596263. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Tyler Rafferty located?

Tyler Rafferty practices at 5666 E State St, Rockford, IL 61108. The listed phone number is (815) 226-2000.

What is Tyler Rafferty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tyler Rafferty enrolled in Medicare?

Yes. Tyler Rafferty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Tyler Rafferty affiliated with any hospitals?

According to CMS data, Tyler Rafferty is affiliated with Katherine Shaw Bethea Hospital, Osf Saint Elizabeth Mdl Ctr, Saint Anthony Medical Center and Osf Saint Paul Medical Center.

When was this NPI record last updated?

The NPPES record for Tyler Rafferty was last updated on September 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.