Individual provider Active NPI

Katrina Marie Westerberg, APRN

  • Primary Care Nurse Practitioner
  • New Lenox, IL
National Provider Identifier
1376316968
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
209.028585 Issued in IL
Practice address
1851 Silver Cross Blvd Ste 150
New Lenox, IL 60451-9629
Phone
(815) 215-8292
NPI assigned
Nov 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 209.028585 IL Primary

Addresses

Primary practice location

1851 Silver Cross Blvd Ste 150
New Lenox, IL 60451-9629

Mailing address

1851 Silver Cross Blvd Ste 150
New Lenox, IL 60451-9629
Phone (815) 215-8292

Other practice location 1

4400 W 95th St Ste 406
Oak Lawn, IL 60453-7216
Phone (815) 215-8292

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
I20240911003679 IL Practitioner - Nurse Practitioner 4284174624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dolehide Dermatology, S.C.Group PAC ID 2163848854, 3 clinicians

Practice addresses (Care Compare)

4400 W 95TH St
Suite 406
Oak Lawn, IL 60453-7216
Phone (773) 680-4296

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.028585ILMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dolehide Dermatology, S.C. CurrentSince May 26, 2024 Accepting new patients

Locations

1851 Silver Cross Blvd
Ste 150
New Lenox, IL 60451
Phone (773) 680-4296

4400 W 95th St
Ste 406
Oak Lawn, IL 60453
Phone (708) 636-9611

4440 W 95th St
Ste 406
Oak Lawn, IL 60453

Organizations & group practices 1

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 4

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": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1376316968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 SILVER CROSS BLVD STE 150",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519629",
            "telephone_number": "815-215-8292",
            "fax_number": "815-215-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 SILVER CROSS BLVD STE 150",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519629",
            "telephone_number": "815-215-8292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 W 95th St Ste 406",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604537216",
            "country_code": "US",
            "telephone_number": "815-215-8292",
            "fax_number": "815-215-8289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTERBERG",
        "first_name": "KATRINA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209.028585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.