DENIANE JOHN (MD) – Family Medicine Physician, NPI 1881256014

DENIANE JOHN (MD) is a healthcare provider. based in Rockford, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 125-075238 (IL). The NPI Number for DENIANE JOHN (MD) is 1881256014

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DENIANE JOHN (MD)
NPI
1881256014
Phone
(815) 972-1000
Address
1221 E STATE ST
Enumeration Date
9 July 2019
Last Update Date
12 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5734839492
Graduation Year
2018 (8 years ago)
PAC ID
4981933439
Group Practice PAC ID
3274432802
Professional Enrollment ID
I20260115002162
Address ID
MO636279099BL255XXBODE202
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

5,041 FAMILY PRACTICE in IL

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Provider Addresses for DENIANE JOHN (MD)

  • 1221, East State Street, Rockford, Winnebago County, Illinois, 61104, United States

    ROCKFORD, IL 611042231

    Phone: (815) 972-1000

    Type: Mailing

  • PO BOX 366

    STE GENEVIEVE, MO 636700366

    Phone: (573) 883-4473

    Type: Mailing

  • 753 POINTE BASSE DR

    STE GENEVIEVE, MO 636701820

    Phone: (573) 883-2782

    Fax: (573) 883-3681

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $741.

Total Amount is formed as General ($741) + Research ($0) + Ownership ($0) = $741.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: ABBVIE INC. ($210).

Total Amount

$741

General + Research + Ownership

Payments

36

Total payment records

General Amount

$741

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220929000876IFamily PracticeMOTBD
I20260115002162IFamily PracticeMTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274432802View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
Nurse PractitionerMO
Nurse PractitionerMO
Certified Nurse Midwife (Cnm), Nurse PractitionerMO
Physical Medicine And Rehabilitation, Pain ManagementMO
Internal MedicineMO
-MO
-MO
Nurse PractitionerMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Can I verify DENIANE JOHN (MD) with an NPI only?
You can start verification with NPI 1881256014 for DENIANE JOHN (MD), then check state licensing separately.
Is DENIANE JOHN (MD) still practicing?
DENIANE JOHN (MD) is currently listed as active in the public NPI registry.
What is DENIANE JOHN (MD) best known for clinically?
Directory data describes DENIANE JOHN (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DENIANE JOHN (MD) on a map?
Expect Rockford, Illinois as a primary anchor for DENIANE JOHN (MD) unless the record lists multiple sites.
Is the information about DENIANE JOHN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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