Katherine Jean Coulter, DNP,APN,FNP-BC,MSN

Key facts

NPI

1104184878

Entity type

Individual (NPI type 1)

Primary specialty

Nurse Practitioner 363L00000X

License

277-000567 (IL)

Practice address

380 E Il Route 38
Rochelle, IL 61068-9694

Phone

(779) 696-9050

NPI assigned

May 1, 2012

Sex

Female

Sole proprietor

No

Organizations & group practices 12

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.

• Swedishamerican Hospital Family Medicine Physician · Rockford, IL · NPI 1962451732
  Medicare reassignment Care Compare group NPD IL
• Swedishamerican Hospital Community/Retail Pharmacy · Rockford, IL · NPI 1013401033
  Care Compare group
• Swedishamerican Hospital Home Health Agency · Rockford, IL · NPI 1255439774
  Care Compare group
• Swedishamerican Hospital Home Infusion Agency · Rockford, IL · NPI 1285720763
  Care Compare group
• Swedishamerican Hospital Family Medicine Physician · Roscoe, IL · NPI 1386054062
  Care Compare group
• Swedishamerican Hospital Community/Retail Pharmacy · Rockford, IL · NPI 1588093942
  Care Compare group
• Swedishamerican Hospital General Acute Care Hospital · Rockford, IL · NPI 1760542732
  Care Compare group
• Swedishamerican Hospital Pharmacy · Rockford, IL · NPI 1891341939
  Care Compare group
• Dupage Health Services, Inc. Clinic/Center · Aurora, IL · NPI 1356635577
  NPD
• Swedishamerican Hospital Community/Retail Pharmacy · Rockford, IL · NPI 1306635982
  NPD
• Swedishamerican Hospital Orthopaedic Surgery Physician · Rockford, IL · NPI 1972706851
  NPD
• Cater Chiropractic Clinic PC Chiropractor · Rockford, IL · NPI 1740471002
  NPD (past)

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Rochelle Community Hospital Association Critical Access Hospital · Rochelle, IL · NPI 1821053216
  Care Compare affiliation Hospital
• Swedishamerican Hospital General Acute Care Hospital · Rockford, IL · NPI 1760542732
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Swedishamerican Hospital (386 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uw Health Hospital · Rockford, IL · CCN 140228
• Rochelle Community Hospital Hospital · Rochelle, IL · CCN 141312

Merit-based Incentive Payment System (MIPS)

Final score

81.51 of 100 (group)

Quality

83.2

Promoting interoperability

77

Improvement activities

40

Cost

71.7

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kcoulter1045811@direct.uwhealth.org

Specialties & licenses

Addresses

Other identifiers

Other names

• Miss Katherine Jean Perian Former name

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 3, 2021.

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1104184878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78866",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532788866",
            "telephone_number": "779-696-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E IL ROUTE 38",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610689694",
            "telephone_number": "779-696-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULTER",
        "first_name": "KATHERINE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DNP,APN,FNP-BC,MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-01",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209009522",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277-000567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (INDIVIDUAL)",
            "identifier": "IL5966012",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcoulter1045811@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "380 E Il Route 38",
            "city": "Rochelle",
            "state": "IL",
            "country_code": "US",
            "postal_code": "610689694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "PERIAN",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "credential": "DNP,APN,FNP-BC,MSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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