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

Nicole Negus, NP

Individual provider Nurse Practitioner · NPI 1508671199

Nicole Negus, NP is a Nurse Practitioner in Rockford, Illinois. Qualified in 2024, 2 years ago. Practices with Edgebrook Dermatology PC, a 5-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2025
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1639 N Alpine Rd Fl 3
Rockford, IL 61107-1449
Phone: (815) 229-9333
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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 209.031613 (IL)

Record details

NPI number1508671199
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 11, 2025
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 3, 2025
Mailing address469 W Huron St Apt 1804, Chicago, IL 60654-3470

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Edgebrook Dermatology P.C. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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