Mitchell Glenn Tan, DNP, APRN,PMHNP-BC
NPI 1518787696 · Psychiatric/Mental Health Nurse Practitioner · Rockford, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mitchell Glenn Tan, DNP, APRN,PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in Rockford, IL (NPI 1518787696).
Provider details
- NPI number
- 1518787696
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, APRN,PMHNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4704421713 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-10-14
- Last updated
- 2025-03-25
- Certified
- 2025-03-25
Frequently asked questions
- What is Mitchell Glenn Tan's NPI number?
- Mitchell Glenn Tan's National Provider Identifier (NPI) is 1518787696, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mitchell Glenn Tan's specialty?
- Mitchell Glenn Tan is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mitchell Glenn Tan located?
- Mitchell Glenn Tan's practice location on file with NPPES is 1639 N Alpine Rd Ste 260, Rockford, IL 61107-1481.
- What is Mitchell Glenn Tan's phone number?
- The practice phone number listed in the NPPES registry for Mitchell Glenn Tan is (815) 670-1715.
- Does Mitchell Glenn Tan accept Medicare?
- Mitchell Glenn Tan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mitchell Glenn Tan's NPI active?
- Yes — Mitchell Glenn Tan's NPI (1518787696) is active in the NPPES registry as of the last update on 2025-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.