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

Suzanna Kyulule

Individual provider Family Nurse Practitioner · NPI 1356985063

Suzanna Kyulule is a Nurse Practitioner in Rockford, Illinois. Qualified in 2019, 7 years ago. Practices with Doctors Express of the Beaumont Area PA, a 211-clinician group and accepts Medicare assignment. Licensed in Illinois and Texas.

Years since qualifying
7
Licensed in
IL, TX
In the registry since
2019
Specialties on file
2

Practice location Address checks out

2222 E State St Ste 209
Rockford, IL 61104-1572
Phone: (815) 988-8500
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1012655 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209020053 (IL)

Record details

NPI number1356985063
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 5, 2019
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024

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 Doctors Express Of The Beaumont Area Pa — 211 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rockford