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

MS. Charlotte A Rodgers

Individual provider Family Nurse Practitioner · NPI 1831079011

MS. Charlotte A Rodgers is a Nurse Practitioner in Pekin, Illinois. Qualified in 2025, 1 year ago. Practices with St Mary Medical Center, a 51-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2025

Practice location Address checks out

1010 Kennedy Dr
Pekin, IL 61554-1689
Phone: (309) 613-6482
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209032962 (IL)

Record details

NPI number1831079011
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 6, 2025
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice St Mary Medical Center — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Pekin