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

Stephanie S Krogull

Individual provider Nurse Practitioner · NPI 1073157996

Stephanie S Krogull is a Nurse Practitioner in Rockford, Illinois. Qualified in 2019, 7 years ago. Practices with Bespoke Psychiatry, a 49-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
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Practice location Address checks out

363 Financial Ct Unit 300
Rockford, IL 61107-6671
Phone: (815) 397-3691
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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 209020365 (IL)

Record details

NPI number1073157996
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 4, 2019
Last updated in NPPESNovember 4, 2019
Mailing address4653 High Point Dr Apt 28, Rockford, IL 61114-4822

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 Bespoke Psychiatry — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rockford