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

Nicole Gonzalez

Individual provider Family Nurse Practitioner · NPI 1063958254

Nicole Gonzalez is a Nurse Practitioner in Rockford, Illinois. Qualified in 2015, 11 years ago. Practices with Community Home Physicians LLC, a 80-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2017
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Practice location Address checks out

2222 E State St Ste 209
Rockford, IL 61104-1572
Phone: (815) 988-8500
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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 209013917 (IL)

Record details

NPI number1063958254
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 11, 2017
Last updated in NPPESJune 28, 2017
Mailing address2222 E. State Street, Suite 209, Rockford, IL 61104

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Community Home Physicians Llc — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rockford