Active NPI
Karolina Piwko-Matenko, FNP-BC
- Family Nurse Practitioner
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209010188
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209010188 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Practices Inpatient Care, LTD. | Current | Accepting new patients | |
| Best Practices Inpatient Care,LTD | Current | Accepting new patients | |
| Premier Health Consultants Inc | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.