Individual provider Active NPI

Katherine Nass, NP

  • Family Nurse Practitioner
  • St Charles, IL
National Provider Identifier
1598442873
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
041.454587 Issued in IL
Practice address
2210 Dean St Ste M
St Charles, IL 60175-1059
Phone
(630) 668-9610
Fax
(630) 668-9813
NPI assigned
Jun 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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 041.454587 IL Primary

Addresses

Primary practice location

2210 Dean St Ste M
St Charles, IL 60175-1059

Mailing address

2S858 S Raddant Rd
Batavia, IL 60510-9381

Other names 1

  • Katherine N Hollon 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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212000437 IL Practitioner - Nurse Practitioner 8820431414 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041.454587ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Medical Associates LTD CurrentSince Dec 4, 2023 Accepting new patients
Elgin Gastroenterology SC PastSince Jul 2, 2023 Accepting new patients

Locations

600 S Randall Rd
Ste 230
Algonquin, IL 60102
Phone (847) 545-9028

389 S Schmale Rd
Carol Stream, IL 60188
Phone (630) 206-1691

21660 W Field Pkwy
Ste 301
Deer Park, IL 60010
Phone (847) 232-4045

1600 N Randall Rd
Ste 220
Elgin, IL 60123
Phone (630) 668-9610

2210 Dean St
Ste M
St Charles, IL 60175
Phone (630) 513-1691

2676 DeKalb Ave
Sycamore, IL 60178
Phone (815) 517-0917

Organizations & group practices 2

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": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1598442873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2S858 S RADDANT RD",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605109381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 DEAN ST STE M",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751059",
            "telephone_number": "630-668-9610",
            "fax_number": "630-668-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASS",
        "first_name": "KATHERINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041.454587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "HOLLON",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.