Misty Lynn Dehaven, APN | |
1639 N Alpine Rd Ste 260, Rockford, IL 61107-1481 | |
(815) 395-1500 | |
(815) 395-1415 |
Full Name | Misty Lynn Dehaven |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 1639 N Alpine Rd Ste 260, Rockford, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003384603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209018358 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fhn Memorial Hospital | Freeport, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jane Addams Community Mental Health Center | 4284526252 | 8 |
Entity Name | Jane Addams Community Mental Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124190335 PECOS PAC ID: 4284526252 Enrollment ID: O20040325001001 |
Mailing Address | Practice Location Address |
---|---|
Misty Lynn Dehaven, APN Po Box 957, Rockford, IL 61105-0957 Ph: (815) 395-1500 | Misty Lynn Dehaven, APN 1639 N Alpine Rd Ste 260, Rockford, IL 61107-1481 Ph: (815) 395-1500 |
Candice Vicencio, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1235 N Mulford Rd Ste 222, Rockford, IL 61107 Phone: 815-397-8400 | |
Caryn Ann Ruzic, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Tyler James Rafferty, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Angela Giardono, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Melissa L. Inman, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 461 N Mulford Rd Ste 3, Rockford, IL 61107 Phone: 815-227-9594 Fax: 815-227-9574 | |
Michelle L Bennett, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3505 N Bell School Rd, Rockford, IL 61114 Phone: 779-696-0300 Fax: 815-639-9433 |