KATELYN BRUCH FNP- BC
NPI 1316418387
Nurse Practitioner - Family in Rockford, IL

Active since December 16, 2018PECOS EnrolledAccepts Medicare Assignment
1200 W STATE ST, ROCKFORD, IL 61102(815) 490-1600 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2022, Aug 9, 2022, Dec 16, 2018 (3 updates tracked since 2018).

About Katelyn Bruch Fnp- Bc NPPES

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

KATELYN BRUCH FNP- BC (NPI 1316418387) is an individual family provider in Rockford, Illinois, licensed in Illinois (209017354) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1316418387
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATELYN BRUCHCredential: FNP- BC
Location Address1200 W STATE STRockford, IL 61102-2112
Mailing Address1200 W State StRockford, IL 61102-2112 · (815) 490-1600
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 16, 2018
Last NPPES UpdateOctober 11, 20223 updates tracked since enumeration
NPPES CertifiedAugust 19, 2022
NPI 1316418387 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 · 209017354
1200 W STATE ST, Rockford, IL 61102

Accepted Insurance

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

Katelyn Bruch 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 ID4183964687
PECOS Enrollment IDI20190320001036
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61102 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.

Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102
Family Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Internal Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Pediatrics
1200 W STATE ST
ROCKFORD, IL 61102
Social Worker
1200 W STATE ST
ROCKFORD, IL 61102
Obstetrics & Gynecology
1200 W STATE ST
ROCKFORD, IL 61102
Advanced Practice Midwife
1200 W STATE ST
ROCKFORD, IL 61102
Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102

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 Katelyn Bruch's NPI number?

The NPI number for Katelyn Bruch is 1316418387. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Where is Katelyn Bruch located?

Katelyn Bruch practices at 1200 W State St, Rockford, IL 61102. The listed phone number is (815) 490-1600.

What is Katelyn Bruch's specialty?

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

Is Katelyn Bruch enrolled in Medicare?

Yes. Katelyn Bruch 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.

What insurance does Katelyn Bruch accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and MercyCare Health Plans list Katelyn Bruch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katelyn Bruch was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.