Active NPI
Katelyn Nieman, NP
- Gerontology Nurse Practitioner
- Burr Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 13642-33
- Practice address
- 1000 Burr Ridge Pkwy Ste 201
Burr Ridge, IL 60527-0864 - Phone
- (414) 255-0340
- Fax
- (855) 342-0199
- NPI assigned
- Mar 30, 2023
- Last updated
- Sep 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 13642-33 | WI | Primary |
Addresses
Primary practice location
1000 Burr Ridge Pkwy Ste 201
Burr Ridge, IL 60527-0864
Mailing address
PO Box 40412
Belfast, ME 04915-1255
Phone (414) 255-0340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Brookfield, WI 53005
Phone (414) 255-0300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients |
Locations
1000 Burr Ridge Pkwy
Ste 201
Burr Ridge, IL 60527
Phone (312) 818-4650
500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000
13555 Bishops Ct
Ste 315
Brookfield, WI 53005
Phone (414) 255-0300
2514 S 102nd St
Ste 160
West Allis, WI 53227
Phone (414) 255-0300
Interoperability endpoints
- katelyn.nieman.1@32913.direct.athenahealth.com
Organizations & group practices 5
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.
-
dba HarmonyCares Medical Group
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Brookfield, WI
- NPI 1376871947
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Fitchburg, WI
- NPI 1861503534
-
- Community Based Hospice Care Agency
- Brookfield, WI
- NPI 1518432749
-
dba CenterWell Home Health
- Home Health Agency
- West Allis, WI
- NPI 1225064926
-
dba Preceptor Home Health
- Home Health Agency
- Germantown, WI
- NPI 1255996740
-
dba Alpine Care Home Health
- Home Health Agency
- Brookfield, WI
- NPI 1326479189
-
dba Aveanna Home Health
- Home Health Agency
- Brookfield, WI
- NPI 1710967104
-
dba Aurora at Home
- Home Health Agency
- West Allis, WI
- NPI 1134255037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1083319115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40412",
"city": "BELFAST",
"state": "ME",
"postal_code": "049151255",
"telephone_number": "414-255-0340",
"fax_number": "855-342-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BURR RIDGE PKWY STE 201",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605270864",
"telephone_number": "414-255-0340",
"fax_number": "855-342-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEMAN",
"first_name": "KATELYN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-30",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WI",
"license": "13642-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.