Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea K Mehlbaum

Individual provider Registered Nurse · NPI 1417483322

Andrea K Mehlbaum is a Nurse Practitioner in Rockford, Illinois. Qualified in 2016, 10 years ago. Practices with Swedishamerican Hospital, a 387-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1340 Charles St Ste 200
Rockford, IL 61104-2200
Phone: (779) 696-8799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209016159 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041348454 (IL)

Record details

NPI number1417483322
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2017
Last updated in NPPESMarch 2, 2021
Certification dateMarch 2, 2021
Mailing addressPo Box 78866, Milwaukee, WI 53278-8866

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Swedishamerican Hospital — 387 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rockford