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

Roseann Cecilina Iverson

Individual provider Family Nurse Practitioner · NPI 1386099208

Roseann Cecilina Iverson is a Nurse Practitioner in Woodstock, Illinois. Qualified in 2015, 11 years ago. Practices with Mercy Health System Corporation, a 751-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

2000 Lake Ave
Woodstock, IL 60098-7401
Phone: (815) 337-7100
Fax: (815) 337-4793
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 875 S. Route 31, Crystal Lake, IL 60014-8190 — (779) 220-7100
  • 1095 Pingree Rd, Crystal Lake, IL 60014-1725 — (815) 459-6655

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 277000696 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209014218 (IL)

Record details

NPI number1386099208
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 28, 2016
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024
Mailing address2000 Lake Ave, Woodstock, IL 60098-7401

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 Mercy Health System Corporation — 751 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Woodstock