Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609406008 Individual Practitioner Female Practitioner

Marissa Dreger , PA

Physician Assistant • Rockford, IL

Professional Overview & Biography Verified Profile Summary

Marissa Dreger, PA is a registered healthcare professional specializing in Physician Assistant 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 Physician Assistant in Rockford, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.6 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
115 Specialists

Practicing in Rockford, IL (4958 Statewide)

Telehealth Adoption Rate
5.2% 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: 2026-03-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085007832

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2026

Physician Assistant (License #085007832 in IL)

📍
Updated Practice Location September 10, 2020

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

📍
Updated Business Mailing Address September 10, 2020

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

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2020

Family Medicine (License #085007832 in IL)

NPI Profile Active January 24, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2020

Registered at 501 WACO WAY, POPLAR GROVE, IL 610658235 (Tel: 9253548319)

📍
Updated Business Mailing Address January 24, 2020

Registered at 501 WACO WAY, POPLAR GROVE, IL 610658235 (Tel: 9253548319)

👤
Provider Name / Credentials Updated January 24, 2020

Recorded as MARISSA DREGER, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2020

Family Medicine (License #STUDENT in NC)

🟢
Initial NPI Registration & Enumeration January 24, 2020

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: 1609406008
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2020
Last Update: March 04, 2026
Sole Proprietor: Yes

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.