MISCHELLE NELSON MD
NPI 1366069023
Student in an Organized Health Care Education/Training Program in Rockford, IL

Active since June 29, 2020
1221 E STATE ST, ROCKFORD, IL 61104(815) 972-1000(815) 972-1086 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mischelle Nelson Md NPPES

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

MISCHELLE NELSON MD (NPI 1366069023) is an individual student in an organized health care education/training program in Rockford, Illinois, licensed in Illinois (125077199) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1366069023
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMISCHELLE NELSONCredential: MD
Location Address1221 E STATE STRockford, IL 61104-2231
Mailing Address1221 E State StRockford, IL 61104-2231 · (815) 972-1000 · Fax (815) 972-1086
Fax(815) 972-1086
Sole ProprietorNo
Enumeration DateJune 29, 2020
NPPES CertifiedJune 29, 2020
NPI 1366069023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in IL · 125077199
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1221 E STATE ST, Rockford, IL 61104

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.

Student in an Organized Health Care Education/Training Program
1221 E STATE ST
ROCKFORD, IL 61104
Student in an Organized Health Care Education/Training Program
1221 E STATE ST
ROCKFORD, IL 61104
Student in an Organized Health Care Education/Training Program
1221 E STATE ST
ROCKFORD, IL 61104
Nurse Practitioner
1221 E STATE ST
ROCKFORD, IL 61104
Family Medicine
1221 E STATE ST
ROCKFORD, IL 61104
Nurse Practitioner (Family)
1221 E STATE ST
ROCKFORD, IL 61104
Family Medicine
1221 E STATE ST
ROCKFORD, IL 61104
Family Medicine
1221 E STATE ST
ROCKFORD, IL 61104

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 Mischelle Nelson's NPI number?

The NPI number for Mischelle Nelson is 1366069023. It was assigned to this individual provider in the NPPES registry on June 29, 2020.

Where is Mischelle Nelson located?

Mischelle Nelson practices at 1221 E State St, Rockford, IL 61104. The listed phone number is (815) 972-1000.

What is Mischelle Nelson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mischelle Nelson was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.