MARY ROTHWELL FNP-BC
NPI 1770134371
Nurse Practitioner - Family in Rockford, IL

Q: What is Mary Rothwell's NPI number?

The NPI number for Mary Rothwell is 1770134371. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Q: What is Mary Rothwell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Rothwell was last updated on September 25, 2019. 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.

Active since September 25, 2019PECOS Enrolled

2222 E STATE ST STE 209, ROCKFORD, IL 61104(815) 988-8500 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Rothwell Fnp-bc NPPES

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

MARY ROTHWELL FNP-BC (NPI 1770134371) is an individual family provider in Rockford, Illinois, licensed in Illinois (209.020095) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770134371

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY ROTHWELLCredential: FNP-BC

Location Address2222 E STATE ST STE 209Rockford, IL 61104-1572

Mailing Address2222 E State St Ste 209Rockford, IL 61104-1572 · (815) 988-8500

Phone(815) 988-8500

Sole ProprietorYes

Enumeration DateSeptember 25, 2019

✔ NPI 1770134371 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 · 209.020095

2222 E STATE ST STE 209, Rockford, IL 61104

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Rothwell Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

NICOLE GONZALEZ

Nurse Practitioner (Family)