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

Sara Lee Fordham

Individual provider Family Nurse Practitioner · NPI 1871141465

Sara Lee Fordham is a Nurse Practitioner in Dixon, Illinois. Qualified in 2019, 7 years ago. Practices with Rna of Rockford, PLLC, an 18-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

Practice location Address checks out

403 E 1st St
Dixon, IL 61021-3116
Phone: (815) 288-5531
Show map & directions

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

Additional practice locations (1)

  • 102 S Hennepin Ave, Dixon, IL 61021-3013 — (815) 288-7711

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209019936 (IL)

Record details

NPI number1871141465
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2019
Last updated in NPPESAugust 28, 2019
Mailing address403 E 1st St, Dixon, IL 61021-3116

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Rna Of Rockford, Pllc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dixon