Individual provider Active NPI

Katarina Nicole Elyea, NURSE PRACTITIONER

  • Nurse Practitioner
  • Mount Pleasant, WI
National Provider Identifier
1477132728
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10516 Issued in WI
Practice address
6611 Spring St
Mount Pleasant, WI 53406-2632
Phone
(262) 504-3100
NPI assigned
Apr 5, 2021
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10516 WI Primary
Gerontology Nurse Practitioner 363LG0600X 10516-33 WI
Gerontology Nurse Practitioner 363LG0600X 209023339 IL

Addresses

Primary practice location

6611 Spring St
Mount Pleasant, WI 53406-2632

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250

Other practice location 1

431 W Liberty St
Wauconda, IL 60084-2452
Phone (847) 526-2151

Other identifiers 1

IdentifierTypeStateIssuer
100177387MedicaidWI

Other names 1

  • Katarina Nicole Treiber Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ktreiber195498@aurora.direct-ci.com Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210817002468 WI Practitioner - Nurse Practitioner 9032514849 Reassigns benefits to 1 organization
I20220826000840 IL Practitioner - Nurse Practitioner 9032514849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10516WIMDPhysical Therapist
10516-33WIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Specialists, S.C. CurrentSince Aug 8, 2022 Accepting new patients
Family Medicine Specialists of Mount Prospect S C CurrentSince Aug 8, 2022 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Family Medicine Specialists of Round Lake Incorporated S C CurrentSince Aug 8, 2022 Accepting new patients

Locations

2253 N Richmond Rd
McHenry, IL 60051
Phone (847) 526-2151

3801 Running Brook Farm Blvd
McHenry, IL 60051
Phone (815) 344-7741

9700 N Main St
Richmond, IL 60071
Phone (815) 678-4181

2680 State Route 83
Round Lake Beach, IL 60073
Phone (224) 372-7780

431 W Liberty St
Wauconda, IL 60084
Phone (847) 526-2151

4000 Il Route 173
Zion, IL 60099
Phone (847) 731-8172

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

5408 W Burleigh St
Milwaukee, WI 53210
Phone (414) 445-6520

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • Direct secure messaging: ktreiber195498@aurora.direct-ci.com

Organizations & group practices 4

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": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1477132728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044",
            "telephone_number": "800-326-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 SPRING ST",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534062632",
            "telephone_number": "262-504-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "431 W Liberty St",
            "address_purpose": "LOCATION",
            "city": "Wauconda",
            "state": "IL",
            "postal_code": "600842452",
            "country_code": "US",
            "telephone_number": "847-526-2151",
            "fax_number": "847-526-2017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELYEA",
        "first_name": "KATARINA",
        "middle_name": "NICOLE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "10516",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WI",
            "license": "10516-33",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209023339",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100177387",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktreiber195498@aurora.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6611 Spring St",
            "city": "Mount Pleasant",
            "state": "WI",
            "country_code": "US",
            "postal_code": "534062632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "6611 Spring St",
            "city": "Mount Pleasant",
            "state": "WI",
            "country_code": "US",
            "postal_code": "534062632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATARINA",
            "last_name": "TREIBER",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Pleasant, WI

Sources for this page

Verify at the official NPI Registry.