Individual provider Active NPI

Kaitlyn S McGough, APRN, CNP

  • Family Nurse Practitioner
  • Galesburg, IL
National Provider Identifier
1285250712
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277004321 Issued in IL
Practice address
834 N Seminary St Ste 302402
Galesburg, IL 61401-2852
Phone
(309) 343-5114
NPI assigned
Jun 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209023431 IL
Family Nurse Practitioner 363LF0000X 277004321 IL Primary

Addresses

Primary practice location

834 N Seminary St Ste 302402
Galesburg, IL 61401-2852

Mailing address

834 N Seminary St Ste 302402
Galesburg, IL 61401-2852
Phone (309) 343-5114

Other practice location 1

6 Hairpin Dr
Edwardsville, IL 62026-1000
Phone (618) 650-3956

Other names 1

  • Kaitlyn S Hinzman 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
I20211214001569 IL Practitioner - Nurse Practitioner 4789074337 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Mary Medical CenterGroup PAC ID 8628038015, 52 clinicians
Osf Healthcare SystemGroup PAC ID 4284541806, 94 clinicians
Kewanee HospitalGroup PAC ID 4789578063, 26 clinicians

Practice addresses (Care Compare)

104 S Broadway St
Knoxville, IL 61448
Phone (309) 289-2335

1051 W S St
Kewanee, IL 61443-8354
Phone (309) 852-7500

834 N Seminary
Suite 401 Osf Healthcare Medical Group Ga
Galesburg, IL 61401-0500
Phone (309) 446-3305

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209023431ILMDFamily Nurse Practitioner
277004321ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Medical Center Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Dec 7, 2021 Accepting new patients
Osf Healthcare System CurrentSince Aug 8, 2025 Accepting new patients
Osf Healthcare System Current Accepting new patients
St Mary Medical Center CurrentSince Dec 1, 2022 Accepting new patients
St Mary Medical Center CurrentSince Dec 1, 2022 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Healthcare System CurrentSince Aug 8, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince Dec 7, 2021 Accepting new patients
Osf Healthcare System Past Accepting new patients

Locations

3315 N Seminary St
#101
Galesburg, IL 61401
Phone (309) 344-1000

834 N Seminary St
Ste 302402
Galesburg, IL 61401
Phone (309) 343-5114

834 N Seminary St
Galesburg, IL 61401
Phone (309) 343-5114

1051 W South St
Kewanee, IL 61443
Phone (309) 734-3141

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

Organizations & group practices 10

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 2

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": "1592611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1285250712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 N SEMINARY ST STE 302402",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012852",
            "telephone_number": "309-343-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 N SEMINARY ST STE 302402",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012852",
            "telephone_number": "309-343-5114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Hairpin Dr",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "IL",
            "postal_code": "620261000",
            "country_code": "US",
            "telephone_number": "618-650-3956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOUGH",
        "first_name": "KAITLYN",
        "middle_name": "S",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-20",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023431",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277004321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "HINZMAN",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Galesburg, IL

Sources for this page

Verify at the official NPI Registry.