Active NPI
Katy Jo Northcutt, APRN, CNP
- Family Nurse Practitioner
- Bloomington, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209018225
- Practice address
- 9 Heartland Dr Ste C
Bloomington, IL 61704-7733 - Phone
- (309) 663-7642
- Fax
- (309) 663-8359
- NPI assigned
- Nov 2, 2018
- Last updated
- Oct 23, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209018225 | IL | Primary |
Addresses
Primary practice location
9 Heartland Dr Ste C
Bloomington, IL 61704-7733
Mailing address
611 W Park St
Urbana, IL 61801-2501
Phone (217) 383-3311
Other practice location 1
1523 Lafayette Park Dr Unit 6
Bloomington, IL 61701-6800
Phone (217) 365-7928
Other practice location 2
2300 N Edward St
Decatur, IL 62526-4163
Phone (217) 876-8121
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Methodist Medical Center of Illinois
Practice addresses (Care Compare)
1120 E War Memorial Dr
Peoria, IL 61616-7757
Phone (309) 685-4411
3591 Griffin Ave
Pekin, IL 61554-6258
Phone (309) 353-6301
3915 Barring Trce
Peoria, IL 61615-2500
Phone (309) 689-6280
5401 N Knoxville Ave
Peoria, IL 61614-5021
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
815 Main St
Suite a
Peoria, IL 61602-1080
Phone (309) 672-4977
8914 N Knoxville Ave
Peoria, IL 61615-1410
Phone (309) 691-9110
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209018225 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proctor Health Systems | Current | Accepting new patients | |
| Abraham Lincoln Memorial Hospital | Current | Accepting new patients | |
| Carle Health Medical Group | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Family | Current | Accepting new patients |
| Passavant Memorial Area Hospital Association | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Passavant Memorial Area Hospital Association | Current | Accepting new patients | |
| Midwest Emergency Department Specialists LTD | Current | Accepting new patients | |
| Abraham Lincoln Memorial Hospital | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Abraham Lincoln Memorial Hospital | Current | Accepting new patients | |
| Bloomington Primary Care, LTD. | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Passavant Memorial Area Hospital Association | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Carle Health Care Incorporated | Past | Accepting new patients |
Locations
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
9 Heartland Dr
Ste C
Bloomington, IL 61704
Phone (309) 663-7642
2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000
200 Stahlhut Dr
Lincoln, IL 62656
Phone (217) 605-5611
112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 671-7779
5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000
8914 N Knoxville Ave
Peoria, IL 61615
Phone (309) 691-9110
1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275
701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
209 N Cummings Ln
Washington, IL 61571
Phone (309) 643-6185
Interoperability endpoints
- knorthcuttaprn388469@carlehiedirect.net
Organizations & group practices 17
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.
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Peoria, IL
- NPI 1134173917
-
- Critical Access Hospital
- Lincoln, IL
- NPI 1154329753
-
- Certified Registered Nurse Anesthetist
- Lincoln, IL
- NPI 1558586180
-
- Family Medicine Physician
- Bloomington, IL
- NPI 1689991929
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
dba Methodist Medical Group
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1245263367
-
dba Passavant Area Hospital
- Critical Access Hospital
- Jacksonville, IL
- NPI 1174580831
-
dba Passavant Professional Services
- Internal Medicine Physician
- Jacksonville, IL
- NPI 1760994040
-
- Critical Access Hospital
- Lincoln, IL
- NPI 1255304721
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1548357973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1609343128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"city": "URBANA",
"state": "IL",
"postal_code": "618012501",
"telephone_number": "217-383-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 HEARTLAND DR STE C",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617047733",
"telephone_number": "309-663-7642",
"fax_number": "309-663-8359"
}
],
"practiceLocations": [
{
"address_1": "1523 Lafayette Park Dr Unit 6",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IL",
"postal_code": "617016800",
"country_code": "US",
"telephone_number": "217-365-7928",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2300 N Edward St",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "IL",
"postal_code": "625264163",
"country_code": "US",
"telephone_number": "217-876-8121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORTHCUTT",
"first_name": "KATY",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "APRN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-02",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209018225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.