Individual provider Active NPI

Katherine E Maggio, NP

  • Acute Care Nurse Practitioner
  • Urbana, IL
National Provider Identifier
1336676303
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
209015987 Issued in IL
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

Updated by the provider on May 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, LA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170710001969 IL Practitioner - Nurse Practitioner 8325317142 Reassigns benefits to 5 organizations
I20220829000730 PA Practitioner - Nurse Practitioner 8325317142 Reassigns benefits to 1 organization
I20240409000682 LA Practitioner - Nurse Practitioner 8325317142 Reassigns benefits to 1 organization

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
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

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 Hospital, Bloomington, IL, CCN 140162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209015987ILMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Multi-Specialty Group CurrentSince Jul 1, 2022 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Board of Trustees of the University of Illinois CurrentSince Oct 1, 2022 Accepting new patients
Pinnacle Health Medical Services Acute Care CurrentSince Aug 31, 2022 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Oct 1, 2022 Accepting new patients
Carle Health Care Incorporated CurrentSince Jun 20, 2017 Accepting new patients
University Medical Center Management Corporation CurrentSince Mar 5, 2024 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 31, 2022 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
University Medical Center Management Corporation CurrentSince Mar 5, 2024 Accepting new patients
Springfield Clinic, LLP CurrentSince Mar 31, 2023 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

  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.