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

Jennifer Boomer, APN

Individual provider Family Nurse Practitioner · NPI 1861901316

Jennifer Boomer, APN is a Nurse Practitioner in Rockford, Illinois. Qualified in 2017, 9 years ago. Practices with Rockford Health Physicians, a 521-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2017
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
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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 209016612 (IL)

Record details

NPI number1861901316
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedSeptember 28, 2017
Last updated in NPPESSeptember 28, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Rockford Health Physicians — 521 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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