Individual provider Active NPI

Karolina Piwko-Matenko, FNP-BC

  • Family Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1275872467
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209010188 Issued in IL
Practice address
345 Executive Pkwy
Ste D4
Rockford, IL 61107-5340
Phone
(270) 554-5114
NPI assigned
Feb 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209010188 IL Primary

Addresses

Primary practice location

345 Executive Pkwy
Ste D4
Rockford, IL 61107-5340

Mailing address

1333 Butterfield Rd 130
Downers Grove, IL 60515-5641
Phone (630) 371-0133

Other names 1

  • Karolina Piwko Former name

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
I20150928000768 IL Practitioner - Nurse Practitioner 1850609728 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209010188ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Best Practices Inpatient Care, LTD. CurrentSince Jun 1, 2023 Accepting new patients
Best Practices Inpatient Care,LTD CurrentSince Jun 1, 2023 Accepting new patients
Premier Health Consultants Inc CurrentSince Jan 28, 2017 Accepting new patients
Best Practices Inpatient Care, LTD. Current Accepting new patients

Locations

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

106 Barrington Commons Ct
Unit 1790
Barrington, IL 60011
Phone (847) 719-2220

2815 Forbs Ave
Ste 10718
Hoffman Estates, IL 60192

2815 Forbs Ave
#10718
Hoffman Estates, IL 60192
Phone (312) 404-9818

3880 Salem Lake Dr
Ste F
Long Grove, IL 60047
Phone (847) 719-2220

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

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": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1275872467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 BUTTERFIELD RD 130",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155641",
            "telephone_number": "630-371-0133",
            "fax_number": "630-371-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 EXECUTIVE PKWY",
            "address_2": "STE D4",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075340",
            "telephone_number": "270-554-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIWKO-MATENKO",
        "first_name": "KAROLINA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAROLINA",
            "last_name": "PIWKO",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.