Kirstin Fudge
NPI 1689567133 · Physician Assistant · Rockford, IL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kirstin Fudge is a Physician Assistant provider in Rockford, IL (NPI 1689567133).
Provider details
- NPI number
- 1689567133
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Surgical Physician Assistant363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
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
83% 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
- 2025-06-02
- Last updated
- 2025-06-02
- Certified
- 2025-06-02
Frequently asked questions
- What is Kirstin Fudge's NPI number?
- Kirstin Fudge's National Provider Identifier (NPI) is 1689567133, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kirstin Fudge's specialty?
- Kirstin Fudge is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kirstin Fudge located?
- Kirstin Fudge's practice location on file with NPPES is 1401 E State St, Rockford, IL 61104-2315.
- What is Kirstin Fudge's phone number?
- The practice phone number listed in the NPPES registry for Kirstin Fudge is (779) 696-4410.
- Does Kirstin Fudge accept Medicare?
- Kirstin Fudge is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kirstin Fudge's NPI active?
- Yes — Kirstin Fudge's NPI (1689567133) is active in the NPPES registry as of the last update on 2025-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.