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

Stacia Langan Sackmaster, APN

Individual provider Nurse Practitioner · NPI 1912330895

Stacia Langan Sackmaster, APN is a Nurse Practitioner in Rockford, Illinois. Qualified in 2013, 13 years ago. Practices with Washington Gastroenterology PLLC, a 143-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Washington.

Years since qualifying
13
Licensed in
IL, WA
In the registry since
2013
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

401 Roxbury Rd
Rockford, IL 61107-5075
Phone: (815) 397-7340
Fax: (815) 397-7388
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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 AP61603948 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence 209010644 (IL)

Record details

NPI number1912330895
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorYes
NPI enumeratedAugust 15, 2013
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 24, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Washington Gastroenterology Pllc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Rockford