Active NPI
Katherine E Maggio, NP
- Acute Care Nurse Practitioner
- Urbana, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 209015987
- Practice address
- 611 W. Park St.
Critical Care
Urbana, IL 61801 - Phone
- (217) 383-3087
- NPI assigned
- May 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209015987 | IL | |
| Acute Care Nurse Practitioner | 363LA2100X | 209015987 | IL | Primary |
Addresses
Primary practice location
611 W. Park St.
Critical Care
Urbana, IL 61801
Mailing address
611 W. Park St.
BWPC
Urbana, IL 61801
Phone (217) 383-6941
Other practice location 1
800 E Carpenter St
Springfield, IL 62769-1000
Phone (217) 544-6464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, PA, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1505 Eastland Dr
320 Crtca Plmnry SLP Med
Bloomington, IL 61701-7912
Phone (309) 661-2368
Hospital & facility affiliations
- St Joseph Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209015987 | IL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Acute Care | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| University Medical Center Management Corporation | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| University Medical Center Management Corporation | Current | Accepting new patients | |
| Springfield Clinic, LLP | Current | Accepting new patients |
Locations
1505 Eastland Dr
Ste 320
Bloomington, IL 61701
Phone (309) 661-2368
1740 W Taylor St
#931
Chicago, IL 60612
Phone (312) 355-5258
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643
301 N 8th St
Springfield, IL 62701
Phone (217) 545-0003
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287
111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
Interoperability endpoints
- katherine.maggio.1@28977.direct.athenahealth.com
Organizations & group practices 13
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1780638478
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Family Medicine Physician
- New Orleans, LA
- NPI 1083655567
-
- Internal Medicine Physician
- Belleville, IL
- NPI 1841613403
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1891913992
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
- Critical Care Medicine (Internal Medicine) Physician
- Mechanicsburg, PA
- NPI 1558738708
Acute Care
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1336676303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W. PARK ST.",
"address_2": "BWPC",
"city": "URBANA",
"state": "IL",
"postal_code": "61801",
"telephone_number": "217-383-6941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W. PARK ST.",
"address_2": "CRITICAL CARE",
"city": "URBANA",
"state": "IL",
"postal_code": "61801",
"telephone_number": "217-383-3087"
}
],
"practiceLocations": [
{
"address_1": "800 E Carpenter St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627691000",
"country_code": "US",
"telephone_number": "217-544-6464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAGGIO",
"first_name": "KATHERINE",
"middle_name": "E",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-22",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209015987",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "209015987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.