Individual provider Active NPI

Catrina M Vandeloo, FNP

  • Family Nurse Practitioner
  • Alton, IL
National Provider Identifier
1386839389
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209006652 Issued in IL
Practice address
1 Memorial Dr
Div Medical Oncology
Alton, IL 62002-6722
Phone
(800) 647-2098
Fax
(314) 362-3192
NPI assigned
Sep 12, 2007
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209006652 IL Primary

Addresses

Primary practice location

1 Memorial Dr
Div Medical Oncology
Alton, IL 62002-6722

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (800) 647-2098

Other identifiers 1

IdentifierTypeStateIssuer
420003629MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

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
I20071023000121 IL Practitioner - Nurse Practitioner 5890881882 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (314) 747-1171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.01 of 100Reported as group
Quality
76.14
Promoting interoperability
99
Improvement activities
40
Cost
76.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209006652ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University Physicians in Illinois, Inc CurrentSince Sep 25, 2023 Accepting new patients
City Medical Partners PA CurrentSince Apr 4, 2016 Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Sep 25, 2023 Accepting new patients
Washington University Physicians in Illinois, Inc Current Accepting new patients
Sigma Haggerty Medical PA CurrentSince Apr 14, 2016 Accepting new patients
Chess Medicine PLLC CurrentSince May 30, 2023 Accepting new patients
Specialized Wound Management LLC Past Accepting new patients

Locations

99 Hawley Ln
Ste 1102
Stratford, CT 06614

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

50 N Jane Dr
Elgin, IL 60123
Phone (815) 844-2610

375 Fountains Pkwy
Fairview Hts, IL 62208
Phone (618) 589-0818

379 Fountains Pkwy
Fairview Hts, IL 62208
Phone (618) 235-6600

400 S Station Rd
Glen Carbon, IL 62034
Phone (618) 288-5014

3500 Century Dr
Granite City, IL 62040
Phone (618) 877-2700

400 E Hillview Ave
Greenville, IL 62246
Phone (618) 664-1622

1 Perryman St
Lebanon, IL 62254
Phone (618) 537-6165

201 S 10th St
Mascoutah, IL 62258
Phone (618) 566-8000

500 S Walnut St
Momence, IL 60954
Phone (815) 308-0850

500 N Jackson St
Morrison, IL 61270
Phone (815) 772-7228

9777 N Greenwood Ave
Niles, IL 60714
Phone (847) 470-0000

9401 Ridgeland Ave
Oak Lawn, IL 60453
Phone (708) 389-3141

310 Mosher Dr
Prophetstown, IL 61277
Phone (815) 537-5175

2 Annable Ct
Sauget, IL 62206
Phone (314) 842-1900

1418 Cross St
Ste 180
Shiloh, IL 62269
Phone (618) 607-1340

225 Castellano Dr
Swansea, IL 62226
Phone (618) 222-2571

393 E Edwardsville Rd
Wood River, IL 62095
Phone (618) 259-4111

21333 Haggerty Rd
Ste 150
Novi, MI 48375
Phone (248) 662-0250

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1386839389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "800-647-2098",
            "fax_number": "314-362-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEMORIAL DR",
            "address_2": "DIV MEDICAL ONCOLOGY",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026722",
            "telephone_number": "800-647-2098",
            "fax_number": "314-362-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDELOO",
        "first_name": "CATRINA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209006652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420003629",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1 Memorial Dr",
            "address_2": "Div Medical Oncology",
            "city": "Alton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620026722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

Verify at the official NPI Registry.