JENNIFER L FASANO APN
NPI 1902127749
Nurse Practitioner in Rockford, IL

Q: What is Jennifer Fasano's NPI number?

The NPI number for Jennifer Fasano is 1902127749. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Q: What is Jennifer Fasano's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Fasano was last updated on June 16, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 16, 2010PECOS Enrolled

444 ROXBURY RD, ROCKFORD, IL 61107(815) 398-3000 Get Directions Write a Review

NPPES record last updated: June 16, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jennifer L Fasano Apn NPPES

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

JENNIFER L FASANO APN (NPI 1902127749) is an individual nurse practitioner in Rockford, Illinois, licensed in Illinois (209007750) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902127749

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJENNIFER L FASANOCredential: APN

Location Address444 ROXBURY RDRockford, IL 61107-5059

Mailing Address444 Roxbury RdRockford, IL 61107-5059

Phone(815) 398-3000

Sole ProprietorNo

Enumeration DateJune 16, 2010

✔ NPI 1902127749 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 · 209007750

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.

444 ROXBURY RD, Rockford, IL 61107

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Other Names 1

Former Name (1)Jennifer Simmons

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer L Fasano Apn 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 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.