Mary Katherine Pendleton, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209014306 Issued in IL

Practice address

1658 S Il Route 2
Oregon, IL 61061-9514

Phone

(815) 732-2499

Fax

(815) 732-6077

NPI assigned

Apr 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Serenity Hospice and HomeGroup PAC ID 7214088954, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Serenity Hospice and Home Hospice, Oregon, IL, CCN 141579

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ms_mpendle1@landmarkhealth-direct.org

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.

• Serenity Hospice and Home

  • Community Based Hospice Care Agency
  • Oregon, IL
  • NPI 1184661100
  Medicare reassignment Care Compare group NPD
• Charles I Davis MD PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Overland Park, KS
  • NPI 1811924780
  NPD (past)
• Geriatric Health Services, Inc.

  • Specialist
  • Kansas City, MO
  • NPI 1558387159
  NPD (past)
• Geriatric Healthcare Services, LLC

  • Specialist
  • Kansas City, MO
  • NPI 1164607107
  NPD (past)

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

• Serenity Hospice and Home

  • Community Based Hospice Care Agency
  • Oregon, IL
  • NPI 1184661100
  Care Compare affiliation

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1194788992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 462",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610610462",
            "telephone_number": "815-732-2499",
            "fax_number": "815-732-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 S IL ROUTE 2",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610619514",
            "telephone_number": "815-732-2499",
            "fax_number": "815-732-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209014306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "209014306",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oregon Healthcare Center
• Oregon Healthcare Pharmacy Services Inc
• Oregon Living & Rehabilitation Center
• Oregon Living & Rehabilitation Center, LLC
• Ashley Patterson, MHP
• Joyce Shirley Peterson, RN
• Pamela Plachno, BSPT
• John H Plescia, M.D.
• Haley Poser, MSN, RN, CLC
• Bryanna Powell

• Adult Health Nurse Practitioner in Oregon, IL
• Providers in Oregon, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.