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

Mark Vananrooy, PA

Individual provider Medical Physician Assistant · NPI 1578541470

Mark Vananrooy, PA is a Physician Assistant in Rockford, Illinois. Qualified in 1996, 30 years ago. Practices with Medical Pain Management Services, Ltd, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
30
Licensed in
IL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1235 N Mulford Rd Ste 222
Rockford, IL 61107-3879
Phone: (815) 397-8400
Fax: (815) 229-0050
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1625 S State St, Belvidere, IL 61008-5907 — (815) 544-1846

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085001774 (IL)

Record details

NPI number1578541470
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 3, 2006
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024
Mailing address1235 North Mulford Road, Suite 222, Rockford, IL 61107-3879

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Medical Pain Management Services, Ltd. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Rockford