PA Peterson at the Citadel LLC
NPI 1538697834ActiveOrganization· Skilled Nursing Facility· Rockford, IL
Skilled Nursing Facility in Rockford, Illinois, registered in NPPES in May 2017. The authorized official on file is Marcella Graf, Cfo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1538697834 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 31, 2017 |
| Last updated in NPPES | Nov 4, 2025 |
| Certified by provider | Nov 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (IL) |
|---|
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