CRUSADER CLINIC BROADWAY
Medicare Clinicians for NPI 1265601488
Clinic/Center - Federally Qualified Health Center (FQHC) in Rockford, IL

Active since February 21, 2008CLIA Certified · 2 labs
1100 BROADWAY, ROCKFORD, IL 61104(815) 490-1601(815) 490-1625 Get Directions

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 24, 2022, Feb 25, 2022, Mar 19, 2019 (3 updates tracked since 2019).

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Crusader Clinic Broadway in Rockford, IL bills Medicare for 22 clinicians across 7 Medicare specialties. The largest specialties are Certified Nurse Midwife (CNM) with 10, Nurse Practitioner with 4 and Obstetrics/Gynecology with 4. Of these, 17 practice within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

22Clinicians
7Medicare specialties
22PECOS enrolled
10Accept Medicare
22 clinicians in 7 specialties

Certified Nurse Midwife (CNM) (10)

Certified Nurse Midwife (CNM)
NPI 1790248110
1200 W STATE ST
Rockford, IL 61102
(815) 490-1600
✔ PECOS2.1 mi
Certified Nurse Midwife (CNM)
NPI 1306713748
1200 W STATE ST
Rockford, IL 61102
(815) 490-1600
✔ PECOS2.1 mi
Certified Nurse Midwife (CNM)
NPI 1508462326
1200 W STATE ST
Rockford, IL 61102
(815) 490-1600
✔ PECOS✔ Accepts Medicare2.1 mi
Certified Nurse Midwife (CNM)
NPI 1386712651
1200 W STATE ST
Rockford, IL 61102
(815) 490-1600
✔ PECOS2.1 mi
Certified Nurse Midwife (CNM)
NPI 1811244569
1200 W STATE ST
Rockford, IL 61102
(815) 490-1600
✔ PECOS2.1 mi
Certified Nurse Midwife (CNM)
NPI 1205115383
1200 W. STATE STREET CRUSADER COMMUNITY HEALTH
Rockford, IL 61102
(815) 490-1600
✔ PECOS2.1 mi
Certified Nurse Midwife (CNM)
NPI 1235847724
1200 W STATE ST
Rockford, IL 61102
(815) 490-1600
✔ PECOS2.1 mi
Certified Nurse Midwife (CNM)
NPI 1548669195
1200 W STATE ST
Rockford, IL 61102
(815) 490-1600
✔ PECOS✔ Accepts Medicare2.1 mi
Certified Nurse Midwife (CNM)
NPI 1831562743
1200 W STATE ST
Rockford, IL 61102
(815) 490-1600
✔ PECOS✔ Accepts Medicare2.1 mi
Certified Nurse Midwife (CNM)
NPI 1164195699
15901 BASS RD STE 100
Fort Myers, FL 33908
(239) 343-7130
✔ PECOS1,159 mi

Nurse Practitioner (4)

Nurse Practitioner
NPI 1225028350
1200 W STATE ST
Rockford, IL 61102
(815) 490-1600
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1043791445
1200 W STATE ST
Rockford, IL 61102
(815) 490-1600
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1063138618
250 PARKWAY DR STE 150
Lincolnshire, IL 60069
(773) 614-9972
✔ PECOS59 mi
Nurse Practitioner
NPI 1407310907
2 CITYPLACE DR FL 2
Saint Louis, MO 63141
(314) 914-2717
✔ PECOS257 mi

Obstetrics/Gynecology (4)

Obstetrics/Gynecology
NPI 1013595297
1200 W STATE ST
Rockford, IL 61102
(815) 490-1600
✔ PECOS2.1 mi
Obstetrics/Gynecology
NPI 1992797260
1200 W STATE ST
Rockford, IL 61102
(815) 490-1600
✔ PECOS✔ Accepts Medicare2.1 mi
Obstetrics/Gynecology
NPI 1548823495
1200 W STATE ST
Rockford, IL 61102
(815) 490-1600
✔ PECOS✔ Accepts Medicare2.1 mi
Obstetrics/Gynecology
NPI 1922529627
10400 HALIGUS RD
Huntley, IL 60142
(815) 356-2323
✔ PECOS✔ Accepts Medicare35 mi

Infectious Disease (1)

Infectious Disease
NPI 1689674541
1340 CHARLES ST STE 404
Rockford, IL 61104
(779) 696-1890
✔ PECOS✔ Accepts Medicare0.8 mi

Mental Health Counselor (1)

Mental Health Counselor
NPI 1457774390
1200 W STATE ST
Rockford, IL 61102
(815) 490-1600
✔ PECOS2.1 mi

Pediatric Medicine (1)

Pediatric Medicine
NPI 1861803595
1200 W STATE ST
Rockford, IL 61102
(815) 490-1600
✔ PECOS2.1 mi

Psychiatry (1)

Psychiatry
NPI 1235138579
535 PARK AVE E
Princeton, IL 61356
(815) 875-4531
✔ PECOS✔ Accepts Medicare64 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Crusader Clinic Broadway appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.