ROSECRANCE BERRY CAMPUS
NPI 1669752275
Clinic/Center - Mental Health (Including Community Mental Health Center) in Rockford, IL

Active since August 26, 2011
8616 NORTHERN AVE, ROCKFORD, IL 61107(815) 391-1000 Get Directions Write a Review

NPPES record last updated: June 27, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 27, 2017, Dec 4, 2015 (2 updates tracked since 2015).

About Rosecrance Berry Campus NPPES

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

ROSECRANCE BERRY CAMPUS (NPI 1669752275) is a healthcare organization registered as a mental health (including community mental health center) in Rockford, Illinois and active in the NPI registry since August 2011. The organization lists Phillip Eaton, Ceo / President, as its authorized official.

NPPES Registry Identity

NPI1669752275
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameROSECRANCE, INC.
Location Address8616 NORTHERN AVERockford, IL 61107-5309
Mailing Address1021 N Mulford RdRockford, IL 61107-3877 · (815) 391-1000 · Fax (815) 316-4726
Organization SubpartNo
Authorized OfficialPhillip EatonCeo / President · (815) 391-1000
Enumeration DateAugust 26, 2011
Last NPPES UpdateJune 27, 20172 updates tracked since enumeration
✔ NPI 1669752275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in IL · 04081
8616 NORTHERN AVE, Rockford, IL 61107

Other Names 1

Doing Business AsRosecrance Berry Campus

Other Identifiers 2

MedicaidA-0601-0037-AIL
Medicaid04081IL

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rosecrance Berry Campus is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

98

Medicare enrollment records show 98 clinicians reassign Medicare billing to Rosecrance Berry Campus, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Clinical Social Worker24
Psychiatry22
Nurse Practitioner20
Mental Health Counselor19
Family Practice8
Internal Medicine2
Addiction Medicine1
Clinical Psychologist1
1 other specialty1

Nearest to this location (20)

See all 98
Mental Health Counselor
NPI 1013493410
8616 NORTHERN AVE
Rockford, IL 61107
(815) 332-8003
✔ PECOSSame address
Nurse Practitioner
NPI 1043582273
8616 NORTHERN AVE
Rockford, IL 61107
(815) 399-9700
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1417435652
8616 NORTHERN AVE
Rockford, IL 61107
(815) 332-8003
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1245217959
8616 NORTHERN AVE
Rockford, IL 61107
(815) 399-9700
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1821029091
6824 NEWBURG RD
Rockford, IL 61108
(779) 696-7610
✔ PECOS✔ Accepts Medicare2.4 mi
Mental Health Counselor
NPI 1306464185
1021 N MULFORD RD
Rockford, IL 61107
(815) 387-2547
✔ PECOS✔ Accepts Medicare2.7 mi
Nurse Practitioner
NPI 1295039873
1021 N MULFORD RD
Rockford, IL 61107
(815) 391-1000
✔ PECOS✔ Accepts Medicare2.7 mi
Clinical Social Worker
NPI 1548051949
1021 N MULFORD RD
Rockford, IL 61107
(815) 387-5656
✔ PECOS2.7 mi
Nurse Practitioner
NPI 1376976530
1639 N ALPINE RD STE 260
Rockford, IL 61107
(815) 395-1500
✔ PECOS✔ Accepts Medicare4.2 mi
Family Practice
NPI 1699708636
205 CADILLAC CT STE 7
Belvidere, IL 61008
(815) 544-0087
✔ PECOS✔ Accepts Medicare4.7 mi
Mental Health Counselor
NPI 1851057475
3815 HARRISON AVE
Rockford, IL 61108
(815) 540-6151
✔ PECOS5.3 mi
Mental Health Counselor
NPI 1477825990
3815 HARRISON AVE
Rockford, IL 61108
(815) 391-1000
✔ PECOS5.3 mi
Nurse Practitioner
NPI 1689927766
3815 HARRISON AVE
Rockford, IL 61108
(815) 391-1000
✔ PECOS5.3 mi
Nurse Practitioner
NPI 1851806335
3815 HARRISON AVE
Rockford, IL 61108
(815) 391-1000
✔ PECOS5.4 mi
Family Practice
NPI 1295725323
1221 E STATE ST
Rockford, IL 61104
(815) 972-1000
✔ PECOS✔ Accepts Medicare6.7 mi
Clinical Social Worker
NPI 1366920811
2704 N MAIN ST
Rockford, IL 61103
(815) 391-1000
✔ PECOS✔ Accepts Medicare6.9 mi
Clinical Social Worker
NPI 1043566094
2704 N MAIN ST
Rockford, IL 61103
(855) 751-4348
✔ PECOS✔ Accepts Medicare6.9 mi
Family Practice
NPI 1669904371
2704 N MAIN ST
Rockford, IL 61103
(815) 853-2050
✔ PECOS✔ Accepts Medicare6.9 mi
Psychiatry
NPI 1578785432
526 W STATE STREET
Rockford, IL 61101
(815) 968-9300
✔ PECOS✔ Accepts Medicare7.8 mi
Psychiatry
NPI 1053383737
526 W. STATE STREET
Rockford, IL 61101
(815) 968-9300
✔ PECOS✔ Accepts Medicare7.8 mi
See all 98 clinicians

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

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 Rosecrance, Inc.'s NPI number?

The NPI number for Rosecrance, Inc. is 1669752275. It was assigned to this organization in the NPPES registry on August 26, 2011. The provider is doing business as Rosecrance Berry Campus.

Where is Rosecrance, Inc. located?

Rosecrance, Inc. is located at 8616 Northern Ave, Rockford, IL 61107. The listed phone number is (815) 391-1000.

What is Rosecrance, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Rosecrance, Inc. enrolled in Medicare?

Yes. Rosecrance, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rosecrance, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 98 clinicians in 9 Medicare specialties reassign their Medicare billing to Rosecrance, Inc.. A 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 the clinician's services. The largest specialties are Clinical Social Worker (24), Psychiatry (22) and Nurse Practitioner (20). Of these, 4 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rosecrance, Inc. was last updated on June 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.