Active NPI
Caitlin Alonzo
- Nurse Practitioner
- O Fallon, IL
National Provider Identifier
1083576243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209034125
- Practice address
- 1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099 - Phone
- (618) 234-2120
- NPI assigned
- Nov 26, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209034125 | IL | Primary |
| Family Nurse Practitioner | 363LF0000X | 2025008810 | MO |
Addresses
Primary practice location
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Mailing address
212 Harbor VW
Fenton, MO 63026-7515
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260312002165 | IL | Practitioner - Nurse Practitioner | 9638652118 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America-Illinois Hospitalists, LLP
Practice addresses (Care Compare)
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120
Hospital & facility affiliations
- HSHS St Elizabeth'S Hospital
- St Joseph'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209034125 | IL | MD | Nurse Practitioner |
| 2025008810 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America-Illinois Hospitalists | Current | Accepting new patients |
Locations
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Bloomington, IL
- NPI 1669276523
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- O Fallon, IL
- NPI 1629057302
Hospital
-
- Critical Access Hospital
- Highland, IL
- NPI 1447352323
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1083576243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 HARBOR VW",
"city": "FENTON",
"state": "MO",
"postal_code": "630267515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAINT ELIZABETH BLVD",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691099",
"telephone_number": "618-234-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALONZO",
"first_name": "CAITLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-26",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209034125",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2025008810",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.