Individual provider Active NPI

Katelynne Grace Sitton, CNP

  • Family Nurse Practitioner
  • Normal, IL
National Provider Identifier
1134751332
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.005264 Issued in IL
Practice address
321 Susan Dr Ste C
Normal, IL 61761-6285
Phone
(309) 455-5703
Fax
(309) 204-5456
NPI assigned
Feb 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.434937 IL
Family Nurse Practitioner 363LF0000X 277.005264 IL Primary

Addresses

Primary practice location

321 Susan Dr Ste C
Normal, IL 61761-6285

Mailing address

321 Susan Dr Ste C
Normal, IL 61761-6285
Phone (309) 455-5703

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
I20200917001937 IL Practitioner - Nurse Practitioner 8325466659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians
Bloomington Primary Care, LTD.Group PAC ID 9436342375, 10 clinicians

Practice addresses (Care Compare)

135 N Williamsburg Dr
Bloomington, IL 61704-3528
Phone (309) 664-9104

9 Heartland Dr
Suite C
Bloomington, IL 61704-7733
Phone 3096637642901

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science

State licenses

LicenseStateTypeSpecialty
041.434937ILMDRegistered Nurse
277.005264ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge to Hope Counseling, LLC Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1134751332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 SUSAN DR STE C",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616285",
            "telephone_number": "309-455-5703",
            "fax_number": "309-204-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SUSAN DR STE C",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616285",
            "telephone_number": "309-455-5703",
            "fax_number": "309-204-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITTON",
        "first_name": "KATELYNNE",
        "middle_name": "GRACE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.434937",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.005264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

Verify at the official NPI Registry.