ABBY ANTCZAK APRN
NPI 1194545749
Nurse Practitioner - Family in Rockford, IL

Q: What is Abby Antczak's NPI number?

The NPI number for Abby Antczak is 1194545749. It was assigned to this individual provider in the NPPES registry on October 16, 2024.

Q: What is Abby Antczak's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Abby Antczak was last updated on October 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 16, 2024PECOS EnrolledAccepts Medicare Assignment

3775 N MULFORD RD, ROCKFORD, IL 61114(779) 696-9202 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Abby Antczak Aprn NPPES

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

ABBY ANTCZAK APRN (NPI 1194545749) is an individual family provider in Rockford, Illinois, licensed in Illinois (209.030791) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1194545749

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameABBY ANTCZAKCredential: APRN

Location Address3775 N MULFORD RDRockford, IL 61114-5632

Mailing Address3775 N Mulford RdRockford, IL 61114-5632 · (779) 696-9202

Phone(779) 696-9202

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 16, 2024

NPPES CertifiedOctober 16, 2024

✔ NPI 1194545749 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 · 209.030791

3775 N MULFORD RD, Rockford, IL 61114

Open in Google Maps ↗

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

Abby Antczak Aprn 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 ID1052848793

PECOS Enrollment IDI20241219002100

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.

Hospital Affiliations CMS Care Compare

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

Uw Health

Acute Care Hospitals · Rockford, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140228

Location1401 East State StreetRockford, IL 61104 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61114 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.

PAMELA J WETZEL MD

Internal Medicine