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

Misty Lynn Dehaven, APN

Individual provider Family Nurse Practitioner · NPI 1003384603

Misty Lynn Dehaven, APN is a Nurse Practitioner in Rockford, Illinois. Qualified in 2018, 8 years ago. Practices with Freeport Regional Health Care Foundation, a 83-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

1639 N Alpine Rd Ste 260
Rockford, IL 61107-1481
Phone: (815) 395-1500
Fax: (815) 395-1415
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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 209018358 (IL)

Record details

NPI number1003384603
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedNovember 13, 2018
Last updated in NPPESFebruary 26, 2019

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 Freeport Regional Health Care Foundation — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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