Dr. Mitchell Glenn Eustaquio Tan, DNP, APRN, PMHNP-BC
Dr. Mitchell Glenn Eustaquio Tan, DNP, APRN, PMHNP-BC is a Nurse Practitioner in Rockford, Illinois. Qualified in 2024, 2 years ago. Practices with Rockford Psychiatric Medical Services SC, a 151-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois, Michigan and Wisconsin.
- Years since qualifying
- 2
- Licensed in
- IL, MI, WI
- In the registry since
- 2024
- Specialties on file
- 4
What do these letters mean?
- DNP — Doctor of Nursing Practice
- The highest clinical degree in nursing.
- APRN — Advanced Practice Registered Nurse
- The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
- PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
- A board-certified psychiatric nurse practitioner.
Practice location Address checks out
1639 N Alpine Rd Ste 260Rockford, IL 61107-1481
Phone: (815) 670-1715
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 209031254 (IL) |
|---|---|
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X · Licence 4704421713 (MI) |
| Registered Nurse | Taxonomy 163W00000X · Licence 041502075 (IL) |
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X · Licence 1632233 (WI) |
Record details
| NPI number | 1518787696 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DNP , APRN , PMHNP-BC |
| Sole proprietor | Yes |
| NPI enumerated | October 14, 2024 |
| Last updated in NPPES | March 25, 2025 |
| Certification date | March 25, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Rockford Psychiatric Medical Services Sc — 151 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Rockford
-
Melinda Annette Pena, APNP
1401 E State St, Rockford, IL 61104-2315 · (779) 696-4123
-
Positive Pathways Psychiatry PLLC
555 S Perryville Rd Ste 130, Rockford, IL 61108-2527 · (815) 396-8617
-
Rockford Psychiatric Medical Services SC
1639 N Alpine Rd 260, Rockford, IL 61107-1449 · (815) 395-1500
-
Jason D Sweazy, MS, BSN, BA, PMHNP
555 S Perryville Rd Ste 130, Rockford, IL 61108-2527 · (815) 404-3452
-
Lynn Wheeler, APN
1021 N Mulford Rd, Rockford, IL 61107-3877 · (815) 391-1000
-
Mrs. Sofia Catherine Wheeler, PMHNP-BC, CRNP-PMH
2222 E State St Ste 209, Rockford, IL 61104 · (815) 988-8500