Individual provider Active NPI

Kathleen Simonaitis

  • Family Nurse Practitioner
  • Vernon Hills, IL
National Provider Identifier
1477119006
Registry record updated Oct 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.019200 Issued in IL
Practice address
313 E Townline Rd
Vernon Hills, IL 60061-1555
Phone
(847) 680-0483
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN11033131 FL
Family Nurse Practitioner 363LF0000X 209.019200 IL Primary
Family Medicine Physician 207Q00000X 1178493 TX
Registered Nurse 163W00000X 041354908 IL
Family Medicine Physician 207Q00000X A159398 IA
Family Medicine Physician 207Q00000X APRN-267620 MT
Family Medicine Physician 207Q00000X 2025036637 MO
Family Medicine Physician 207Q00000X 209019200 IL
Family Medicine Physician 207Q00000X 10049634 OR

Addresses

Primary practice location

313 E Townline Rd
Vernon Hills, IL 60061-1555

Mailing address

313 E Townline Rd
Vernon Hills, IL 60061-1555
Phone (847) 680-0483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX, MN, UT, AZ5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20190529000322 IL Practitioner - Nurse Practitioner 7416290887 Reassigns benefits to 4 organizations
I20250304001025 TX Practitioner - Nurse Practitioner 7416290887 Reassigns benefits to 2 organizations
I20251121004201 MN Practitioner - Nurse Practitioner 7416290887 Reassigns benefits to 1 organization
I20251210002457 UT Practitioner - Nurse Practitioner 7416290887 Reassigns benefits to 1 organization
I20251216001980 AZ Practitioner - Nurse Practitioner 7416290887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Telehealth Services of Texas AssociationGroup PAC ID 8921437427, 47 clinicians
Minuteclinic Diagnostic of Minnesota PAGroup PAC ID 7810289949, 83 clinicians

Practice addresses (Care Compare)

1855 Gattis School Rd
Round Rock, TX 78664-7428
Phone (866) 389-2727

4241 Johnny Cake Ridge Rd
Eagan, MN 55122-2235
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041354908ILMDRegistered Nurse
A159398IAMDFamily Medicine Physician
2025036637MOMDFamily Medicine Physician
APRN-267620MTMDFamily Medicine Physician
10049634ORMDFamily Medicine Physician
13544MNMDPhysical Therapist
209.019200ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Jan 21, 2025 Accepting new patients
Endeavor Health Medical Group Family Medicine CurrentSince Jun 1, 2019 Accepting new patients
Minuteclinic Video Virtual Care North, LLC Family Medicine CurrentSince Jan 31, 2023 Accepting new patients
Minuteclinic Diagnostic of Utah, LLC Family CurrentSince Nov 28, 2025 Accepting new patients
Endeavor Health Medical Group CurrentSince Jun 1, 2019 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family Medicine CurrentSince Jan 21, 2025 Accepting new patients
Minuteclinic Primary Care Illinois PLLC Family CurrentSince Apr 15, 2025 Accepting new patients
Minuteclinic Diagnostic of Illinois PLLC Family CurrentSince Aug 14, 2020 Accepting new patients
Minuteclinic Diagnostic of Minnesota, P.a. Family CurrentSince Nov 12, 2025 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family Current Accepting new patients

Locations

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221

936 Willow Rd
Northbrook, IL 60062
Phone (847) 239-8447

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

1801 W Golf Rd
Schaumburg, IL 60194
Phone (847) 885-1326

9977 Woods Dr
Skokie, IL 60077
Phone (847) 663-8540

313 E Townline Rd
Vernon Hills, IL 60061
Phone (847) 680-0483

4241 Johnny Cake Ridge Rd
Eagan, MN 55122
Phone (651) 688-7041

1500 109th Ave NE
Minneapolis, MN 55449
Phone (763) 354-1000

1 Cvs Dr
#2295
Woonsocket, RI 02895
Phone (401) 770-8043

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

2469 Bay Area Blvd
Houston, TX 77058
Phone (281) 474-4042

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

5002 W Main St
League City, TX 77573
Phone (281) 557-4374

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

5301 Alamo Pkwy
San Antonio, TX 78253
Phone (210) 688-9311

7777 S Redwood Rd
West Jordan, UT 84084
Phone (801) 255-9077

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760745600000",
    "number": "1477119006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E TOWNLINE RD",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611555",
            "telephone_number": "847-680-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E TOWNLINE RD",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611555",
            "telephone_number": "847-680-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONAITIS",
        "first_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11033131",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.019200",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1178493",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041354908",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "A159398",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "APRN-267620",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2025036637",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "209019200",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "10049634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

Verify at the official NPI Registry.