Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brogan Repp

Individual provider Registered Nurse · NPI 1295431823

Brogan Repp is a Nurse Practitioner in Round Lake, Illinois. Graduated from Rush Medical College of Rush University in 2022, 4 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Trained at
Rush Medical College of Rush University
Licensed in
IL
In the registry since
2023
Specialties on file
2

Practice location Address checks out

34159 N Hainesville Rd
Round Lake, IL 60073-9790
Phone: (847) 722-0063
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209027936 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041413004 (IL)

Record details

NPI number1295431823
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 6, 2023
Last updated in NPPESJanuary 5, 2024
Certification dateJanuary 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2022 (4 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Round Lake