Individual provider Active NPI

Katie Jo Parker, APRN, FNP-C

  • Family Nurse Practitioner
  • Robinson, IL
National Provider Identifier
1467086892
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209020909 Issued in IL
Practice address
1101 N Allen St
Robinson, IL 62454-1168
Phone
(618) 544-3800
NPI assigned
Feb 25, 2020
Last updated
Aug 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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 209020909 IL Primary

Addresses

Primary practice location

1101 N Allen St
Robinson, IL 62454-1168

Mailing address

1101 N Allen St
Robinson, IL 62454-1168
Phone (618) 544-3800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katie.parker@crawfordmh.cernerdirect.com Direct

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
I20200528001646 IL Practitioner - Nurse Practitioner 0244651388 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crawford Hospital DistrictGroup PAC ID 7719898071, 71 clinicians
Lawrence County Memorial HospitalGroup PAC ID 1850288481, 13 clinicians

Practice addresses (Care Compare)

1000 N Allen St
Robinson, IL 62454-1167
Phone (618) 544-3131

1000 N Allen St C
CMH Bone and Joint Center
Robinson, IL 62454-1167
Phone (618) 546-1294

1002 N Allen St B
Robinson, IL 62454-1167

2111 Lexington Ave
Lawrenceville, IL 62439-2085
Phone (618) 943-7214

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209020909ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford Hospital District CurrentSince Jun 29, 2020 Accepting new patients
Crawford Hospital District Current Accepting new patients
Lawrence County Memorial Hospital CurrentSince Dec 1, 2020 Accepting new patients
Crawford Hospital District CurrentSince Jun 29, 2020 Accepting new patients
Lawrence County Memorial Hospital CurrentSince Dec 1, 2020 Accepting new patients
Associated Pathologists, LLC Current Accepting new patients
Crawford Hospital District Past Accepting new patients

Locations

2111 Lexington Ave
#2200
Lawrenceville, IL 62439

2111 Lexington Ave
Lawrenceville, IL 62439
Phone (618) 943-6202

2200 State St
Lawrenceville, IL 62439
Phone (618) 943-1000

1002 N Allen St
Ste B
Robinson, IL 62454

1101 N Allen St
Robinson, IL 62454
Phone (618) 544-3125

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

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 3

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": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1467086892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N ALLEN ST",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541168",
            "telephone_number": "618-544-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N ALLEN ST",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541168",
            "telephone_number": "618-544-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KATIE",
        "middle_name": "JO",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katie.parker@crawfordmh.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1101 N Allen St",
            "city": "Robinson",
            "state": "IL",
            "country_code": "US",
            "postal_code": "624541168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Robinson, IL

Sources for this page

Verify at the official NPI Registry.