Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katelyn Bruch, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1316418387

Katelyn Bruch, FNP-BC is a Nurse Practitioner in Rockford, Illinois. Qualified in 2016, 10 years ago. Practices with Crusaders Central Clinic Association, a 33-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2018
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1200 W State St
Rockford, IL 61102-2112
Phone: (815) 490-1600
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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 209017354 (IL)

Record details

NPI number1316418387
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedDecember 16, 2018
Last updated in NPPESOctober 11, 2022
Certification dateAugust 19, 2022

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 Crusaders Central Clinic Association — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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