Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962988873 Individual Practitioner Female Practitioner

Roxana Koren Manger , APN

Nurse Practitioner - Pediatrics • Rockford, IL

Professional Overview & Biography Verified Profile Summary

Roxana Manger, APN is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Rockford, IL. Practice services are available at 1200 W STATE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 W State St

Rockford, IL 611022112

Telephone 8154901600
Fax 8154901881
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Rockford, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
19 Specialists

Practicing in Rockford, IL (694 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-23
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License WI 16545-33

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Caryn Ruzic , APRN

Nurse Practitioner - Family

NPI 1003572660

Advanced Practice Registered Nurse

Dr. John Wall , MD

Family Medicine

NPI 1003899071

Doctor of Medicine (M.D.)

Dr. Adekola Ashaye , MD

Internal Medicine

NPI 1003899162

Doctor of Medicine (M.D.)

NPI 1013188408

Doctor of Medicine (M.D.)

NPI 1013363290

Licensed Social Worker

Dr. Cornita Cannon , MD

Obstetrics & Gynecology

NPI 1013595297

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location March 23, 2026

Registered at 1200 W STATE ST, ROCKFORD, IL 611022112 (Tel: 8154901600)

📍
Updated Business Mailing Address March 23, 2026

Registered at 1200 W STATE ST, ROCKFORD, IL 611022112 (Tel: 8154901600)

👤
Provider Name / Credentials Updated March 23, 2026

Recorded as ROXANA MANGER, APN

📍
Updated Practice Location February 28, 2025

Registered at 682 PORTER RD, EVANSVILLE, WI 535362203 (Tel: 6088430769)

📍
Updated Business Mailing Address February 28, 2025

Registered at 682 PORTER RD, EVANSVILLE, WI 535362203 (Tel: 6088430769)

👤
Provider Name / Credentials Updated February 28, 2025

Recorded as ROXANA MANGER, CPNP-AC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2025

Nurse Practitioner (License #16545-33 in WI)

NPI Profile Active July 13, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2018

Registered at 1823 WALLINFORD DR, SUN PRAIRIE, WI 535903511 (Tel: 6088430769)

📍
Updated Business Mailing Address July 13, 2018

Registered at 1823 WALLINFORD DR, SUN PRAIRIE, WI 535903511 (Tel: 6088430769)

👤
Provider Name / Credentials Updated July 13, 2018

Recorded as ROXANA GRAF, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2018

Registered Nurse (License #168550 in WI)

🟢
Initial NPI Registration & Enumeration July 13, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962988873
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2018
Last Update: March 23, 2026
Sole Proprietor: No

Mailing Address

1200 W State St

Rockford, IL 611022112

Phone: 8154901600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.