Individual provider Active NPI

Katie Marshall, APRN, CNM

  • Advanced Practice Midwife
  • Ottawa, IL
National Provider Identifier
1508607789
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209029762 Issued in IL
Practice address
1614 E Norris Dr
Ottawa, IL 61350-3681
Phone
(815) 431-0435
Fax
(815) 431-0443
NPI assigned
Jun 3, 2024
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209029762 IL Primary

Addresses

Primary practice location

1614 E Norris Dr
Ottawa, IL 61350-3681

Mailing address

1614 E Norris Dr
Ottawa, IL 61350-3681
Phone (815) 431-0435

Other practice location 1

1100 E Norris Dr
Ottawa, IL 61350-1604
Phone (815) 433-3100

Other practice location 2

925 West St
Peru, IL 61354-2757
Phone (815) 221-1380

Other names 1

  • Katie Hoffert Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627000143 IL Practitioner - Certified Nurse Midwife (CNM) 8921542374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

920 W St
Peru, IL 61354-2763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Healthcare System CurrentSince Apr 8, 2025 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Healthcare System Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Jun 13, 2024 Accepting new patients
Osf Healthcare System CurrentSince Apr 8, 2025 Accepting new patients
Osf Healthcare System Past Accepting new patients

Locations

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

1614 E Norris Dr
Ottawa, IL 61350
Phone (815) 433-1010

124 SW Adams St
Peoria, IL 61602
Phone (309) 655-2850

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

920 West St
Ste 100
Peru, IL 61354
Phone (815) 431-0435

925 West St
Peru, IL 61354
Phone (815) 223-3300

530 Park Ave E
Ste 303B
Princeton, IL 61356
Phone (815) 454-2811

535 Park Ave E
Princeton, IL 61356
Phone (815) 875-4531

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1508607789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 E NORRIS DR",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613503681",
            "telephone_number": "815-431-0435",
            "fax_number": "815-431-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 E NORRIS DR",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613503681",
            "telephone_number": "815-431-0435",
            "fax_number": "815-431-0443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 E Norris Dr",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "IL",
            "postal_code": "613501604",
            "country_code": "US",
            "telephone_number": "815-433-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 West St",
            "address_purpose": "LOCATION",
            "city": "Peru",
            "state": "IL",
            "postal_code": "613542757",
            "country_code": "US",
            "telephone_number": "815-221-1380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "KATIE",
        "credential": "APRN, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209029762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "HOFFERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ottawa, IL

Sources for this page

Verify at the official NPI Registry.