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

Michelle Fuller, APN

Individual provider Nurse Practitioner · NPI 1982086237

Michelle Fuller, APN is a Nurse Practitioner in Rockford, Illinois. Qualified in 2014, 12 years ago. Practices with Swedishamerican Hospital, a 387-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2015
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

1415 E State St
Rockford, IL 61104-2333
Phone: (779) 696-4891
Fax: (779) 696-5312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209-012872 (IL)

Record details

NPI number1982086237
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedJune 23, 2015
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024
Mailing addressPo Box 78866, Milwaukee, WI 53278-8866

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Swedishamerican Hospital — 387 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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