Catherine Lynn Stull, FNP BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

277001363 Issued in IL

Practice address

4001 W Devon Ave Ste 206
Chicago, IL 60646-4537

Phone

(847) 722-4901

NPI assigned

May 20, 2015

Last updated

Dec 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Loyola University of Chicago, Stritch School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Value Based Long Term Care H PCGroup PAC ID 4587104641, 145 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Value Based Long Term Care H PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Framingham, MA
  • NPI 1134951676

  IL, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Bridgeway Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Park Ridge, IL
  • NPI 1659039857

  Multi-Specialty

  Medicare reassignment NPD
• Paragon Clinical LLC

  • Nurse Practitioner
  • Burr Ridge, IL
  • NPI 1114139946

  Multi-Specialty

  Medicare reassignment NPD
• HDC Care Solutions, LLC

  • Nurse Practitioner
  • Framingham, MA
  • NPI 1033861349

  IL, Multi-Specialty

  Medicare reassignment NPD
• Healthdrive Medical Services Southeast LLC

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1437930146

  IL, Multi-Specialty

  Medicare reassignment NPD
• Blessing Corporate Services Inc

  dba Blessing Physician Services

  • Multi-Specialty Clinic/Center
  • Quincy, IL
  • NPI 1851311641
  NPD (past)
• Willoughby Center for Behavioral Health, LLC

  • Clinical Psychologist
  • Evanston, IL
  • NPI 1700257581

  Multi-Specialty

  NPD (past)
• Paragon Clinical Midwest, LLC

  • Nurse Practitioner
  • Merrillville, IN
  • NPI 1619335700

  Multi-Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1053790345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5341 CAROL ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772002",
            "telephone_number": "847-722-4901",
            "fax_number": "847-965-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W DEVON AVE STE 206",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464537",
            "telephone_number": "847-722-4901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 S 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Hines",
            "state": "IL",
            "postal_code": "601413030",
            "country_code": "US",
            "telephone_number": "708-202-8387 x23232",
            "fax_number": "708-202-2259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STULL",
        "first_name": "CATHERINE",
        "middle_name": "LYNN",
        "credential": "FNP BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-20",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277001363",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.011876",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Beth Stulberg, M.D.
• Megan McDonald Stulberg, PT, DPT, CCS
• Samuel David Stulberg, MD
• Casey Ward Stulce, M.D.
• Natasha Johanne Stull Brennan, LCPC
• Megan Stultz, M.D.
• Sandra Stumme, M.A.
• Amy Stump, LPC
• Carrie Marie Stump, MD
• Caitlin Stumpner, PSY.D.

• Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.