MR. NICHOLAS CHARLES ALFANO APRN
NPI 1568231256
Nurse Practitioner - Family in Rockford, IL

Active since December 22, 2023PECOS EnrolledAccepts Medicare Assignment
1340 CHARLES ST, ROCKFORD, IL 61104(779) 696-5888 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Nicholas Charles Alfano Aprn NPPES

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

MR. NICHOLAS CHARLES ALFANO APRN (NPI 1568231256) is an individual family provider in Rockford, Illinois, licensed in Illinois (209028908) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1568231256
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. NICHOLAS CHARLES ALFANOCredential: APRN
Location Address1340 CHARLES STRockford, IL 61104-2200
Mailing Address1340 Charles St Ste 300Rockford, IL 61104-2200 · (779) 696-5888
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 22, 2023
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1568231256 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 · 209028908
1340 CHARLES ST, Rockford, IL 61104

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Nicholas Charles Alfano 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 ID2062855497
PECOS Enrollment IDI20240213001196
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.

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Alfano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiovascular Disease
1340 CHARLES ST, SUITE 300
Rockford, IL 61104
  • Reassigned Medicare billing, Illinois enrollment
  • 474 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
124 services92 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.
98 services97 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
43 services41 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services17 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
14 services14 patients

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 61104 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.

Physical Therapist
1340 CHARLES ST, SUITE 100
ROCKFORD, IL 61104
Nurse Practitioner
1340 CHARLES ST
ROCKFORD, IL 61104
Nurse Practitioner
1340 CHARLES ST, STE 201
ROCKFORD, IL 61104
Orthopaedic Surgery (Sports Medicine)
1340 CHARLES ST, SUITE 100
ROCKFORD, IL 61104
Nurse Practitioner
1340 CHARLES ST, SUITE 300
ROCKFORD, IL 61104
Physical Therapist
1340 CHARLES ST, SUITE 100
ROCKFORD, IL 61104
Orthopaedic Surgery
1340 CHARLES ST, STE 100
ROCKFORD, IL 61104
Nurse Practitioner
1340 CHARLES 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 Nicholas Alfano's NPI number?

The NPI number for Nicholas Alfano is 1568231256. It was assigned to this individual provider in the NPPES registry on December 22, 2023.

Where is Nicholas Alfano located?

Nicholas Alfano practices at 1340 Charles St, Rockford, IL 61104. The listed phone number is (779) 696-5888.

What is Nicholas Alfano's specialty?

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

Is Nicholas Alfano enrolled in Medicare?

Yes. Nicholas Alfano 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.

Which organization bills Medicare for Nicholas Alfano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Alfano reassigns Medicare benefits to Swedishamerican Hospital (Rockford, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Alfano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Alfano accept?

Health plans from Quartz list Nicholas Alfano 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 Nicholas Alfano affiliated with any hospitals?

According to CMS data, Nicholas Alfano is affiliated with Uw Health.

When was this NPI record last updated?

The NPPES record for Nicholas Alfano was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.