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

Jaclyn C. Weidner, APN

Individual provider Acute Care Nurse Practitioner · NPI 1669969275

Jaclyn C. Weidner, APN is a Nurse Practitioner in Rockford, Illinois. Qualified in 2018, 8 years ago. Practices with Rockford Health Physicians, a 521-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2018
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

2400 N Rockton Ave
Rockford, IL 61103-3655
Phone: (815) 971-5000
Fax: (815) 971-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 209.017495 (IL)

Record details

NPI number1669969275
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedApril 18, 2018
Last updated in NPPESApril 18, 2018
Mailing address2400 N Rockton Ave, Rockford, IL 61103-3655

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Rockford Health Physicians — 521 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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