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

Timothy A Deming, NP

Individual provider Nurse Practitioner · NPI 1023397064

Timothy A Deming, NP is a Nurse Practitioner in Rockford, Illinois. Qualified in 2010, 16 years ago. Practices with Rockford Emergency Physicians, LLC, a 52-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
16
Licensed in
IL
In the registry since
2011
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1401 E State St
Rockford, IL 61104-2315
Phone: (414) 290-6720
Fax: (414) 290-6755
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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 209008913 (IL)

Record details

NPI number1023397064
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 9, 2011
Last updated in NPPESAugust 9, 2011
Mailing address111 E Wisconsin Ave, Suite 2000, Milwaukee, WI 53202-4815

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Rockford Emergency Physicians, Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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