Individual provider Active NPI

Katherine Spalding, APN

  • Acute Care Nurse Practitioner
  • Aurora, IL
National Provider Identifier
1164804316
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
209.012815 Issued in IL
Practice address
2088 Ogden Ave
Suite 160
Aurora, IL 60504-4376
Phone
(630) 851-6440
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 209.012815 IL Primary

Addresses

Primary practice location

2088 Ogden Ave
Suite 160
Aurora, IL 60504-4376

Mailing address

2088 Ogden Ave Ste 160
Aurora, IL 60504-4383
Phone (630) 851-6440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150828002317 IL Practitioner - Nurse Practitioner 0840506374 Reassigns benefits to 2 organizations
I20260417000820 OH Practitioner - Nurse Practitioner 0840506374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Telemedico Physicians Pulmonary SCGroup PAC ID 6608294400, 17 clinicians

Practice addresses (Care Compare)

6141 N Pulaski Rd
Chicago, IL 60646-5215
Phone (847) 386-7744

Merit-based Incentive Payment System (MIPS)

Final score
93.72 of 100Reported as group
Quality
75.99
Improvement activities
40
Cost
77.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.012815ILMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Telemedico Physicians Pulmonary SC CurrentSince Jun 6, 2022 Accepting new patients
Divine Hospice & Palliative Care LLC CurrentSince May 16, 2020 Accepting new patients

Locations

601 W Lincoln Ave
Caseyville, IL 62232
Phone (618) 344-9355

2000 W Lake St
Hanover Park, IL 60133
Phone (224) 456-6662

3330 Skokie Valley Rd
Ste 200
Highland Park, IL 60035
Phone 8473867744202

6141 N Pulaski Rd
Lincolnwood, IL 60646
Phone (773) 478-2000

815 E Irving Park Rd
Streamwood, IL 60107
Phone (630) 479-4246

234 Garden St
Yorkville, IL 60560
Phone (630) 553-8500

Interoperability endpoints

  • Direct secure messaging: kspalding108162@direct.rush.rush-health.com

Organizations & group practices 4

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1164804316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2088 OGDEN AVE STE 160",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044383",
            "telephone_number": "630-851-6440",
            "fax_number": "630-851-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2088 OGDEN AVE",
            "address_2": "SUITE 160",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044376",
            "telephone_number": "630-851-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPALDING",
        "first_name": "KATHERINE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209.012815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.