JACLYN C. WEIDNER APN
NPI 1669969275
Nurse Practitioner - Acute Care in Rockford, IL
About Jaclyn C. Weidner Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN C. WEIDNER APN (NPI 1669969275) is an individual acute care provider in Rockford, Illinois, licensed in Illinois (209.017495) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Javon Bea Hospital, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Jaclyn C. Weidner Apn 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.
Medicare Billing Reassignment
Medicare enrollment records show Jaclyn Weidner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rockford, IL 61103
- Reassigned Medicare billing, Illinois enrollment
- 1,375 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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Javon Bea Hospital
Acute Care Hospitals · Rockford, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ROCKFORD, IL 61103
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 Jaclyn Weidner's NPI number?
The NPI number for Jaclyn Weidner is 1669969275. It was assigned to this individual provider in the NPPES registry on April 18, 2018.
Where is Jaclyn Weidner located?
Jaclyn Weidner practices at 2400 N Rockton Ave, Rockford, IL 61103. The listed phone number is (815) 971-5000.
What is Jaclyn Weidner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jaclyn Weidner enrolled in Medicare?
Yes. Jaclyn Weidner 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 Jaclyn Weidner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Weidner reassigns Medicare benefits to Rockford Health Physicians (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 Jaclyn Weidner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaclyn Weidner accept?
Health plans from Anthem Blue Cross and Blue Shield, MercyCare and MercyCare Health Plans list Jaclyn Weidner 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 Jaclyn Weidner affiliated with any hospitals?
According to CMS data, Jaclyn Weidner is affiliated with Javon Bea Hospital.
When was this NPI record last updated?
The NPPES record for Jaclyn Weidner was last updated on April 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Jaclyn C. Weidner, APN · NPI 1669969275
Acute Care physician in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since April 18, 2018.
## Identity
- **NPI:** 1669969275 (Entity type: Individual)
- **Enumerated:** April 18, 2018
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 209.017495 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2400 N ROCKTON AVE, Rockford, IL 61103-3655
- **Phone:** (815) 971-5000 · **Fax:** (815) 971-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Rockford Health Physicians (NPI 1023275278, Rockford, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** April 18, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1669969275) · Data from the CMS NPPES public registry.