DAWN M VERNON N.P.
NPI 1376751735
Nurse Practitioner in Rockford, IL

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment
60.25/100
CMS Quality Rating
401 ROXBURY RD, ROCKFORD, IL 61107(815) 397-7340(815) 397-7388 Get Directions Write a Review

NPPES record last updated: March 2, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dawn M Vernon N.p. NPPES

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

DAWN M VERNON N.P. (NPI 1376751735) is an individual nurse practitioner in Rockford, Illinois, licensed in Illinois (209006574) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1376751735
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDAWN M VERNONCredential: N.P.
Location Address401 ROXBURY RDRockford, IL 61107-5075
Mailing Address401 Roxbury RdRockford, IL 61107-5075 · (815) 397-7340 · Fax (815) 397-7388
Fax(815) 397-7388
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 18, 2007
Last NPPES UpdateMarch 2, 2016
NPI 1376751735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209006574
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

401 ROXBURY RD, Rockford, IL 61107

Other Identifiers 2

Medicare UPINQ79132
Medicare PINIL1959013IL

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

Dawn M Vernon N.p. 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 ID345348462
PECOS Enrollment IDI20070613000040
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 10

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.

Injection, vedolizumab, intravenous, 1 mg J3380
Vedolizumab is a medication given via injection. It's used to treat certain bowel conditions (such as Crohn's disease, ulcerative colitis) by reducing inflammation. It works by blocking a certain protein that causes this inflammation.
6,900 services18 patients
Injection, infliximab, excludes biosimilar, 10 mg J1745
Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
1,700 services13 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.
164 services149 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
73 services73 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
34 services23 patients
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.
27 services27 patients

Hospital Affiliations CMS Care Compare 3

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

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 61107 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

60.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality11.05
Promoting Interoperability80
Improvement Activities40
Cost73.13

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.

Internal Medicine (Gastroenterology)
401 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Gastroenterology)
401 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Gastroenterology)
401 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Gastroenterology)
401 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Gastroenterology)
401 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Gastroenterology)
401 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Gastroenterology)
401 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Gastroenterology)
401 ROXBURY RD
ROCKFORD, IL 61107

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 Dawn Vernon's NPI number?

The NPI number for Dawn Vernon is 1376751735. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Dawn Vernon located?

Dawn Vernon practices at 401 Roxbury Rd, Rockford, IL 61107. The listed phone number is (815) 397-7340.

What is Dawn Vernon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Dawn Vernon enrolled in Medicare?

Yes. Dawn Vernon 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 Dawn Vernon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Quartz list Dawn Vernon 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.

Is Dawn Vernon affiliated with any hospitals?

According to CMS data, Dawn Vernon is affiliated with Uw Health, Saint Anthony Medical Center and Osf Saint Paul Medical Center.

When was this NPI record last updated?

The NPPES record for Dawn Vernon was last updated on March 2, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.