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

Nicholas P McKeown, PA-C

Individual provider Physician Assistant · NPI 1609415454

Nicholas P McKeown, PA-C is a Physician Assistant in Rockford, Illinois. Qualified in 2019, 7 years ago. Practices with Orthomidwest, PLLC, a 537-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5875 E Riverside Blvd
Rockford, IL 61114-4937
Phone: (815) 398-9491
Fax: (815) 381-7498
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)

  • 324 Roxbury Rd, Rockford, IL 61107-5090 — (815) 398-9491

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085007514 (IL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1609415454
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 26, 2019
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Orthomidwest, Pllc — 537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rockford