Individual provider Active NPI

Kathryn Lewis, NP-C

  • Family Nurse Practitioner
  • Dixon, IL
National Provider Identifier
1073138467
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209021392 Issued in IL
Practice address
201 Lincoln Statue Dr
Dixon, IL 61021-2000
Phone
(815) 677-0674
Fax
(815) 425-9369
NPI assigned
Jun 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209021392 IL Primary

Addresses

Primary practice location

201 Lincoln Statue Dr
Dixon, IL 61021-2000

Mailing address

201 Lincoln Statue Dr
Dixon, IL 61021-2000
Phone (815) 677-0674

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210203000023 IL Practitioner - Nurse Practitioner 1658785621 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

1672 S Galena Ave
Dixon, IL 61021-9611
Phone (815) 564-2663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Whiteside CurrentSince Oct 19, 2020 Accepting new patients
Whiteside County Community Health Clinic CurrentSince Oct 19, 2020 Accepting new patients
County of Whiteside Current Accepting new patients
CGH Medical Center CurrentSince Jan 10, 2023 Accepting new patients
CGH Medical Center CurrentSince Jan 10, 2023 Accepting new patients

Locations

1300 W 2nd St
Rock Falls, IL 61071

100 E Lefevre Rd
Sterling, IL 61081
Phone (815) 625-0400

101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285

Interoperability endpoints

  • Direct secure messaging: kathryn.beck.p16@direct.fhn-fqhc.nextgenshare.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1073138467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LINCOLN STATUE DR",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610212000",
            "telephone_number": "815-677-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LINCOLN STATUE DR",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610212000",
            "telephone_number": "815-677-0674",
            "fax_number": "815-425-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KATHRYN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209021392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dixon, IL

Sources for this page

Verify at the official NPI Registry.